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LEGACY RECOVERY AND WELLNESS PC NPI 1447925987


NPI Information

NPI: 1447925987
Provider Name: LEGACY RECOVERY AND WELLNESS PC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 34D1100269

Address:
840 FLEMING ST STE 1
HENDERSONVILLE, NC
ZIP 28791
Phone: (828) 490-4444
Get Directions

LEGACY RECOVERY AND WELLNESS PC is an addiction medicine internal medicine in Hendersonville, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. LEGACY RECOVERY AND WELLNESS PC NPI is 1447925987. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

840 FLEMING ST STE 1
HENDERSONVILLE, NC
ZIP 28791-541
Phone: (828) 490-4444
Fax: (704) 675-7279

The provider's authorized official is Lisa K Wheeler .
The authorized official title is Owner/physician and has the following contact phone number (828) 490-4444.

The CLIA number assigned to this NPI record is 34D1100269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 11/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNo
2207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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