| Legacy Health Foundation | |
|
223 E City Hall Ave Ste 200b Norfolk VA 23510-1700 | |
| (757) 738-4959 | |
| (443) 329-9452 |
| Full Name | Legacy Health Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 223 E City Hall Ave Ste 200b, Norfolk, Virginia |
| Authorized Official Name and Position | Calvin Demond Williams (OWNER) |
| Authorized Official Contact | 7577384959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Health Foundation 223 E City Hall Ave Ste 200b Norfolk VA 23510-1700 Ph: (757) 738-4959 | Legacy Health Foundation 223 E City Hall Ave Ste 200b Norfolk VA 23510-1700 Ph: (757) 738-4959 |
| NPI Number | 1386479640 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386479640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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