Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Treatment LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1841765393

Legacy Treatment LLC is an Addiction (Substance Use Disorder) Counselor in Jessup, Maryland. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8610 Washington Blvd
Jessup, MD 20794-9499
Phone: (410) 824-8149
Fax: (410) 824-8371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1841765393
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLegacy Treatment LLC
Authorized official Lloyd Wynn — Coo · (973) 558-8514
NPI enumeratedOctober 11, 2018
Last updated in NPPESOctober 11, 2018
Mailing address8610 Washington Blvd Ste 200, Jessup, MD 20794-9499

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