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Organization
LEGACY MENTAL & WELLNESS HEALTH GROUP CORP
Active
Organization
LEGACY MENTAL & WELLNESS HEALTH GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GUEVARA APRN (OWNER)
(786) 816-0908
Entity
Organization
Contact information
Practice address
4005 NW 114TH AVE UNIT 8, DORAL, FL 33178-4372
(786) 816-0908
(786) 999-8805
Mailing address
4005 NW 114TH AVE UNIT 8, DORAL, FL 33178-4372
(786) 816-0908
(786) 999-8805
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/02/2026
Last updated
09/02/2026
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