Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Divine Legacy

Mental Health Clinic/Center (Including Community Mental Health Center) in Brooklyn Center, MN · enumerated 2019 · authorized official Lakesia Aycock, Administration/Mhp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073072260

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Registry record

Entity type Organization (Type 2)

Legal business name Divine Legacy

Practice address 3300 County Road 10 Ste 318, Brooklyn Center, MN, 55429

Phone (763) 439-2588

Enumeration date Mar 18, 2019

Last updated in NPPES Mar 18, 2019

Taxonomy & classification

261QC1800X Corporate Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Lakesia Aycock

Title Administration/Mhp

Phone (763) 439-2588

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Divine Legacy located?

The practice location on file with NPPES is in Brooklyn Center, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-03-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-18.