Organization
LEGACY COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE GARZON BS, CBHCMS, CTP (CEO)
(954) 600-1728
Entity
Organization
Contact information
Practice address
10211 W SAMPLE RD STE 212214, CORAL SPRINGS, FL 33065-3972
(954) 603-7177
(786) 364-7543
Mailing address
10211 W SAMPLE RD STE 212214, CORAL SPRINGS, FL 33065-3972
(954) 603-7177
(786) 364-7543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
05/01/2026
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