NPI age
4 years
Enumerated 2021-08-13
● Active Type 2 · Organization
Subpart
Legacy Behavioral Health & Wellness
Legacy Behavioral Health & Wellness is 1 of 987 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Koedam
Nurse Practitioner
Last NPPES update
2021-08-13
Source: monthly bulk 2026-05
How this organization compares
Across 987 active nurse practitioner providers in Texas.
NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated 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 Cruz Koedam, FNP-C, PMHNP-BC
Nurse Practitioner
📞 9729008640
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Better Health
Practice context
Single-site organization. Only one practice location on file.
Subpart of Legacy Behavioral Health & Wellness.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.