OrganizationActive
The Legacy House PLLC
NPI 1932734845 · Multi-Specialty Clinic/Center · Panama City, FL
Provider details
- NPI number
- 1932734845
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Folsom, Lmhc(850) 331-0134
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2615 W 23rd St
Panama City, FL 32405-2339
Phone: (850) 331-0134
Fax: (850) 306-6721
Street-level locationGet directions
Mailing address
2615 W 23rd St
Panama City, FL 32405-2339
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-08-07
- Certified
- 2020-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.