| Legacy Family Services Inc. | |
|
11901 N Macarthur Blvd Oklahoma City OK 73162-1806 | |
| (405) 202-1027 | |
| Not Available |
| Full Name | Legacy Family Services Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11901 N Macarthur Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ashley Bryant (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4052021027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Services Inc. 11901 N Macarthur Blvd Suite C Oklahoma City OK 73162-1806 Ph: (405) 202-1027 | Legacy Family Services Inc. 11901 N Macarthur Blvd Oklahoma City OK 73162-1806 Ph: (405) 202-1027 |
| NPI Number | 1902270267 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902270267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5636 (Oklahoma) | Primary |
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