| Legg Counseling & Consulting Services, Llc | |
|
1418 Main St Peckville PA 18452-2048 | |
| (570) 489-4357 | |
| Not Available |
| Full Name | Legg Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1418 Main St, Peckville, Pennsylvania |
| Authorized Official Name and Position | Meghan Roe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6176743499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legg Counseling & Consulting Services, Llc 1418 Main St Peckville PA 18452-2048 Ph: (570) 489-4357 | Legg Counseling & Consulting Services, Llc 1418 Main St Peckville PA 18452-2048 Ph: (570) 489-4357 |
| NPI Number | 1285202895 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Medicare PECOS PAC ID | 8729479092 |
|---|---|
| Medicare Enrollment ID | O20211221000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285202895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy Legg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063427417 PECOS PAC ID: 6507027364 Enrollment ID: I20211221000205 |
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