| Legacy Counseling Services Llc | |
|
815 Freaslands Way Franklin KY 42134-7703 | |
| (808) 897-1375 | |
| Not Available |
| Full Name | Legacy Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 815 Freaslands Way, Franklin, Kentucky |
| Authorized Official Name and Position | Akimi Yarbrough (OWNER) |
| Authorized Official Contact | 8088971375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Services Llc 815 Freaslands Way Franklin KY 42134-7703 Ph: (808) 897-1375 | Legacy Counseling Services Llc 815 Freaslands Way Franklin KY 42134-7703 Ph: (808) 897-1375 |
| NPI Number | 1629774807 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 09/02/2024 |
| Certification Date | 09/02/2024 |
| Medicare PECOS PAC ID | 1759756695 |
|---|---|
| Medicare Enrollment ID | O20230407000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629774807 | NPI | - | NPPES |
| Provider Name | Victoria Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609648682 PECOS PAC ID: 0244672699 Enrollment ID: I20240530002061 |
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