| Legacy Counseling Services Llc | |
|
622 Windbrook Cir Newport News VA 23602-8847 | |
| (804) 677-0223 | |
| Not Available |
| Full Name | Legacy Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 622 Windbrook Cir, Newport News, Virginia |
| Authorized Official Name and Position | Ebony Nickens (OWNER) |
| Authorized Official Contact | 8046770223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Services Llc 622 Windbrook Cir Newport News VA 23602-8847 Ph: (804) 677-0223 | Legacy Counseling Services Llc 622 Windbrook Cir Newport News VA 23602-8847 Ph: (804) 677-0223 |
| NPI Number | 1427666106 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427666106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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