NPI age
4 years
Enumerated 2021-07-19
● Active Type 2 · Organization
Legacy Behavioral Health & Wellness
Legacy Behavioral Health & Wellness is 1 of 5095 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Koedam
Nurse Practitioner
Last NPPES update
2021-07-19
Source: monthly bulk 2026-05
How this organization compares
Across 5095 active nurse practitioner providers in Texas.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-07Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
8105 Rasor Blvd Ste 248
Plano, TX 750240341
Mailing address
3700 Legacy Dr Apt 28206
Frisco, TX 750346643
Authorized official
Mayra C Koedam, FNP-C, PMHNP-BC
Nurse Practitioner
📞 9729008640
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.