MEDICARE: LEGACY FAMILY & BEHAVIORAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912868613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY FAMILY & BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	8508 ASHFIELD HILLS TER
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1264
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8508 ASHFIELD HILLS TER
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1264
Country	:	US
Telephone Number	:	948-867-4808
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ASIA VELAZQUEZ
Credential	:
Telephone Number	:	948-867-4808

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	02/12/2026

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