NPI Profile for LEGACY LIFE COUNSELING CONSULTING SERVICES PLC in NOVI, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Community Health |
261QC1500X | |||
Community/Behavioral Health |
251S00000X | |||
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Train |
347D00000X |
| NPI # | 1326690314 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/10/2019 | |
| Last updated | 02/10/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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