| Legacy Counseling, Llc | |
|
125 Cambridgepark Dr Ste 301 Cambridge MA 02140-2392 | |
| (857) 392-2234 | |
| Not Available |
| Full Name | Legacy Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 125 Cambridgepark Dr Ste 301, Cambridge, Massachusetts |
| Authorized Official Name and Position | Rosie Labriole (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4012134930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling, Llc 165 Cambridgepark Dr Unit 217 Cambridge MA 02140-2486 Ph: (857) 392-2234 | Legacy Counseling, Llc 125 Cambridgepark Dr Ste 301 Cambridge MA 02140-2392 Ph: (857) 392-2234 |
| NPI Number | 1417665480 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417665480 | NPI | - | NPPES |
| 11304 | Other | MA | STATE OF MASSACHUSETTS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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