Legacy Treatment Center LLC
Legacy Treatment Center LLC is an Addiction Medicine (Family Medicine) Physician in Fort Wayne, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3030 Lake Ave Ste 24Fort Wayne, IN 46805-5428
Phone: (260) 705-4587
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1336940717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdul Barrie — Ceo · (260) 201-3119 |
| NPI enumerated | March 21, 2025 |
| Last updated in NPPES | December 12, 2025 |
| Certification date | December 12, 2025 |
| Mailing address | 3030 Lake Ave Ste 24, Fort Wayne, IN 46805-5428 |
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