# LEGACY MIND & WELLNESS BEHAVIORAL HEALTH NURSING, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861398638
- **Authorized official:** ROSITA YNESTROZA- GORDON NP (PRESIDENT)
- **Authorized official phone:** (818) 326-6475

## Contact information

- **Practice address:** 15549 DEVONSHIRE ST STE 5, MISSION HILLS, CA 91345-3308
- **Practice address phone:** (818) 326-6475
- **Mailing address:** 28415 INCLINE LN, SANTA CLARITA, CA 91390-5750
- **Mailing address phone:** (818) 326-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2026
- **Last updated:** 10/17/2026