Organization · Type 2 NPI

Legacy Therapy Llc.

Community/Behavioral Health Agency · Cleveland, TN

NPI number 1780576223 Active

Practice location

525 Hunt Cliff Dr NW
Cleveland, TN 37311-1642

Call (423) 544-0199 Map

Fax (423) 544-0199

Other practice locations

335 11th St NE, Cleveland, TN 37311-5187 · (423) 476-5513
2200 Chambliss Ave NW, Cleveland, TN 37311-3874 · (423) 599-9347

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1780576223
Entity type: Organization (Type 2)
Issued: Jul 18, 2025
Last updated: Jul 23, 2025
Status: Active

Other names

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Legacy Therapy LLC · former legal business name
Legacy Therapy LLC · former legal business name

Authorized official

Dr. Andrew William Dipastena, PhD, LMFT
Licensed Marriage/family Therapist
(423) 544-0199

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780576223

Legacy Therapy Llc.'s National Provider Identifier is 1780576223, issued on Jul 18, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cleveland, TN. The record was last updated on Jul 23, 2025.