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

Legacy Wellness Mental Health Services LLC

Organization Clinical Social Worker · NPI 1609765742

Legacy Wellness Mental Health Services LLC is a Clinical Social Worker in Virginia Beach, Virginia. 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.

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Practice location Address checks out

1385 Fordham Dr Ste 105-138
Virginia Beach, VA 23464-5345
Phone: (757) 724-0351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609765742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kieshara Matthews — Owner · (757) 724-0351
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address1385 Fordham Dr Ste 105-138, Virginia Beach, VA 23464-5345

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