Organization
LEGENDARYCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY FARRIOR MBA (CEO)
(919) 219-1226
Entity
Organization
Contact information
Practice address
145 ARIZONA PL NW, CONCORD, NC 28027-9713
(919) 219-1226
Mailing address
145 ARIZONA PL NW, CONCORD, NC 28027-9713
(919) 219-1226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/08/2026
Last updated
08/21/2026
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