# LEGACY BEHAVIORAL HEALTH & WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY BEHAVIORAL HEALTH & WELLNESS
- **Other names:** Better Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528733359
- **Legal business name:** LEGACY BEHAVIORAL HEALTH & WELLNESS
- **Authorized official:** MAYRA CRUZ KOEDAM FNP-C, PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (972) 900-8640

## Contact information

- **Practice address:** 8105 RASOR BLVD STE 248, PLANO, TX 75024-0341
- **Practice address phone:** (469) 461-1557
- **Mailing address:** 3700 LEGACY DR APT 28206, FRISCO, TX 75034-6643
- **Mailing address phone:** (972) 900-8640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2021
- **Last updated:** 08/13/2021