Legacy Behavioral Health & Wellness
NPI 1144893173 · Psychiatric/Mental Health Nurse Practitioner · Plano, TX
Legacy Behavioral Health & Wellness is a Psychiatric/Mental Health Nurse Practitioner organization in Plano, TX (NPI 1144893173).
Provider details
- NPI number
- 1144893173
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mayra Koedam, Nurse Practitioner(972) 900-8640
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-07-19
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Frequently asked questions
- What is Legacy Behavioral Health & Wellness's NPI number?
- Legacy Behavioral Health & Wellness's National Provider Identifier (NPI) is 1144893173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Behavioral Health & Wellness?
- Legacy Behavioral Health & Wellness is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Legacy Behavioral Health & Wellness located?
- Legacy Behavioral Health & Wellness's practice location on file with NPPES is 8105 Rasor Blvd Ste 248, Plano, TX 75024-0341.
- What is Legacy Behavioral Health & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Legacy Behavioral Health & Wellness is (469) 461-1557.
- Who is the authorized official for Legacy Behavioral Health & Wellness?
- The authorized official listed on Legacy Behavioral Health & Wellness's NPPES record is Mayra Koedam, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Behavioral Health & Wellness's NPI active?
- Yes — Legacy Behavioral Health & Wellness's NPI (1144893173) is active in the NPPES registry as of the last update on 2021-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.