| Legacy Sports And Sel Strategies Llc | |
|
2 Mallory Ct New Castle DE 19720-8852 | |
| (646) 594-4281 | |
| Not Available |
| Full Name | Legacy Sports And Sel Strategies Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2 Mallory Ct, New Castle, Delaware |
| Authorized Official Name and Position | Alphonso Lewis Shepherd (BUSINESS OWNER) |
| Authorized Official Contact | 6465944281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Sports And Sel Strategies Llc 2 Mallory Ct New Castle DE 19720-8852 Ph: (646) 594-4281 | Legacy Sports And Sel Strategies Llc 2 Mallory Ct New Castle DE 19720-8852 Ph: (646) 594-4281 |
| NPI Number | 1417702366 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417702366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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