Legacy Life Counseling & Consulting Services, Plc
Professional Counselor in Novi, MI(View on Map)
Legal Business Name
Legacy Life Counseling & Consulting Services, Plc
NPI Number
1326690314
NPI Type
Organization
Enumeration Date
07/10/2019
Specialties
(Taxonomies)Name
Code
101YP2500X
261QM0855X
261QC1500X
251S00000X
101Y00000X
106H00000X
101YM0800X
347D00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
17360 W 12 MILE RD STE 104
31268 SHORECREST DR APT 24302
City
Southfield
Novi
State
MI
MI
Postal Code
48076-2117
48377-1182
Country
US
US
Telephone Number
(248) 270-7092
(248) 270-7092
Authorized Official
Name
Ms. La Tosha Lymon
Title or Position
CEO/PROGRAM DIRECTOR
Telephone Number
(248) 270-7092
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/10/2021
Provider Address
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