Divine Legacy
NPI 1073072260 · Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklyn Center, MN
Divine Legacy is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Brooklyn Center, MN (NPI 1073072260).
Provider details
- NPI number
- 1073072260
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lakesia Aycock, Administration/Mhp(763) 439-2588
Specialties & taxonomies
Ambulatory Health Care Facilities
- Corporate Health Clinic/Center261QC1800X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-18
- Last updated
- 2019-03-18
Frequently asked questions
- What is Divine Legacy's NPI number?
- Divine Legacy's National Provider Identifier (NPI) is 1073072260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Legacy?
- Divine Legacy is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Divine Legacy located?
- Divine Legacy's practice location on file with NPPES is 3300 County Road 10 Ste 318, Brooklyn Center, MN 55429-3066.
- What is Divine Legacy's phone number?
- The practice phone number listed in the NPPES registry for Divine Legacy is (763) 439-2588.
- Who is the authorized official for Divine Legacy?
- The authorized official listed on Divine Legacy's NPPES record is Lakesia Aycock, Administration/Mhp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Legacy's NPI active?
- Yes — Divine Legacy's NPI (1073072260) is active in the NPPES registry as of the last update on 2019-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.