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Organization

LEGACY MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYPHANIE BEASLEY DNP, FNP-C, PMHNP-BC (NURSE PRACTITIONER)
(720) 338-6870
Entity
Organization

Contact information

Practice address
13575 E 104TH AVE UNIT 300, COMMERCE CITY, CO 80022-8401
(720) 689-1165
(616) 369-0917
Mailing address
10940 S PARKER RD # 179, PARKER, CO 80134-7440
(720) 338-6870
(616) 369-0917

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/09/2024
Last updated
02/09/2024
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