| Legacy Counseling Services, Llc | |
| 
					4500 Forbes Blvd Ste 200 Lanham MD 20706-6316  | |
| (301) 265-6150 | |
| Not Available | 
| Full Name | Legacy Counseling Services, Llc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 4500 Forbes Blvd Ste 200, Lanham, Maryland | 
| Authorized Official Name and Position | Amina Aleem Hall (DIRECTOR/PSYCHOTHERAPIST) | 
| Authorized Official Contact | 3012656150 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Legacy Counseling Services, Llc 11203 Champlain Cir Bowie MD 20720-3490 Ph: (301) 538-6103  | Legacy Counseling Services, Llc 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (301) 265-6150  | 
| NPI Number | 1174142715 | 
|---|---|
| Provider Enumeration Date | 04/14/2020 | 
| Last Update Date | 04/14/2020 | 
| Certification Date | 04/14/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174142715 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
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