| Legacy Life Counseling & Consulting Services, Plc | |
|
31268 Shorecrest Dr Apt 24302 Novi MI 48377-1182 | |
| (248) 270-7092 | |
| Not Available |
| Full Name | Legacy Life Counseling & Consulting Services, Plc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 31268 Shorecrest Dr Apt 24302, Novi, Michigan |
| Authorized Official Name and Position | La Tosha A. Lymon (CEO/PROGRAM DIRECTOR) |
| Authorized Official Contact | 2482707092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Life Counseling & Consulting Services, Plc 17360 W 12 Mile Rd Ste 104 Southfield MI 48076-2117 Ph: (248) 270-7092 | Legacy Life Counseling & Consulting Services, Plc 31268 Shorecrest Dr Apt 24302 Novi MI 48377-1182 Ph: (248) 270-7092 |
| NPI Number | 1326690314 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326690314 | NPI | - | NPPES |
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