Organization
LEGACY LIFE CARE PROGRAMS
Active
Other names
Legacy Life Care Programs-Brentwood
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R SMITH N.H.A. M.P.S./IMFT (CEO/PRESIDENT)
(931) 215-2182
Entity
Organization
Contact information
Practice address
1324 TROTWOOD AVE STE 11, COLUMBIA, TN 38401-4750
(931) 626-1644
(931) 381-5363
Mailing address
100 N. BIGBY DR., COLUMBIA, TN 38401-4704
(931) 215-2182
(931) 381-5363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1000000018345
TN
1041C0700X
Clinical Social Worker
1000000011378
TN
251S00000X
Community/Behavioral Health Agency
Primary
1000000011378
TN
251V00000X
Voluntary or Charitable Agency
1000000018345
TN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225450802
INDIVIDUAL PROVIDER NPI
TN
05
—
1437420742
—
TN
01
—
1669548608
SUPERVISING PROVIDER NPI
TN
01
—
1962746842
GROUP NPI
TN
05
—
H445654
—
TN
01
—
NPI 1265768428
SUPERVISOR
TN
05
—
Q006613
—
TN
05
—
Q010864
—
TN
Enumeration date
11/16/2012
Last updated
09/02/2025
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