| True Legacy Family Services Llc | |
|
600 E Carmel Dr Ste 120 Carmel IN 46032-3049 | |
| (317) 799-1234 | |
| Not Available |
| Full Name | True Legacy Family Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 600 E Carmel Dr Ste 120, Carmel, Indiana |
| Authorized Official Name and Position | Rose Marie Goodman (PRINCIPAL OWNER) |
| Authorized Official Contact | 3177991181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True Legacy Family Services Llc 600 E Carmel Dr Ste 120 Carmel IN 46032-3049 Ph: (317) 799-1234 | True Legacy Family Services Llc 600 E Carmel Dr Ste 120 Carmel IN 46032-3049 Ph: (317) 799-1234 |
| NPI Number | 1902558547 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902558547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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