Legacy Consulting, Llc | |
18 Wallace St Red Bank NJ 07701-1857 | |
(732) 865-4182 | |
(732) 530-6361 |
Full Name | Legacy Consulting, Llc |
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Speciality | Community/behavioral Health |
Location | 18 Wallace St, Red Bank, New Jersey |
Authorized Official Name and Position | Carolyn J. Schadle (PROPRIETOR) |
Authorized Official Contact | 7328654182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Consulting, Llc 18 Wallace St Red Bank NJ 07701-1857 Ph: (732) 865-4182 | Legacy Consulting, Llc 18 Wallace St Red Bank NJ 07701-1857 Ph: (732) 865-4182 |
NPI Number | 1588960942 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 02/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588960942 | NPI | - | NPPES |
214789262-001 | Other | NJ | BLUE CROSS BLUE SHIELD PPO. TRADITIONAL, EMPIRE, BLUE CARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC04741400 (New Jersey) | Primary |
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