Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Therapeutic Interventions, PLLC

Organization Clinical Social Worker · NPI 1689392177

Legacy Therapeutic Interventions, PLLC provides Clinical Social Worker services in Fayetteville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5403 Nessee St
Fayetteville, NC 28314-4600
Phone: (678) 674-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1689392177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yazlyn Jacobs — Ceo · (678) 674-9965
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address5403 Nessee St, Fayetteville, NC 28314-4600

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