| Legacy Healing Services, Llc | |
|
2154 Seven Springs Blvd New Prt Rchy FL 34655-3910 | |
| (727) 473-6815 | |
| Not Available |
| Full Name | Legacy Healing Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2154 Seven Springs Blvd, New Prt Rchy, Florida |
| Authorized Official Name and Position | Amanda Merski (OWNER) |
| Authorized Official Contact | 7274736815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Healing Services, Llc 8441 Rustlewood Ct Trinity FL 34655-4578 Ph: () - | Legacy Healing Services, Llc 2154 Seven Springs Blvd New Prt Rchy FL 34655-3910 Ph: (727) 473-6815 |
| NPI Number | 1154122414 |
|---|---|
| Provider Enumeration Date | 03/22/2025 |
| Last Update Date | 03/22/2025 |
| Certification Date | 03/22/2025 |
| Medicare PECOS PAC ID | 1254858970 |
|---|---|
| Medicare Enrollment ID | O20250506003784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154122414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Merski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538960893 PECOS PAC ID: 2163949884 Enrollment ID: I20250506003791 |
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