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General NPI Number Information
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NPI Number | 1366395873
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Entity Type | Organization
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Legal Business Name | LEGACY HAVEN INTEGRATED CARE SERVICES LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR # 29683
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 267-938-1566
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 29683
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 267-938-1566
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Fax |
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Authorized Official
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Title or Position | BSN, RN
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Name | MS. SHEENA ALLEYNE
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Credential |
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Telephone | 267-938-1566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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