| Legacy Counseling Llc | |
|
1520 Northumberland Way Monmouth Junction NJ 08852-2374 | |
| (732) 991-1556 | |
| Not Available |
| Full Name | Legacy Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1520 Northumberland Way, Monmouth Junction, New Jersey |
| Authorized Official Name and Position | Mala Devi Deodhari-beni (CEO) |
| Authorized Official Contact | 7329911556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Llc #1045 555 High Street Ste 9 Mount Holly NJ 08060-1062 Ph: (732) 991-1556 | Legacy Counseling Llc 1520 Northumberland Way Monmouth Junction NJ 08852-2374 Ph: (732) 991-1556 |
| NPI Number | 1437505757 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 08/02/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437505757 | NPI | - | NPPES |
| 87-2066325 | Medicaid | NJ |
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