| 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 | (NU) | Primary |
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