Organization
LEGACY YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI SMITH (CLINICAL/PROGRAM DIRECTOR)
(832) 655-7759
Entity
Organization
Contact information
Practice address
20011 JUNIPER CHASE TRL, RICHMOND, TX 77407-4084
(281) 824-5399
Mailing address
20011 JUNIPER CHASE TRL, RICHMOND, TX 77407-4084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
02/09/2026
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