LEGACY COUNSELING SERVICES LLC
NPI 1427666106
Clinic/Center - Adolescent and Children Mental Health in Newport News, VA
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About LEGACY COUNSELING SERVICES LLC
This page provides the complete NPI Profile along with additional information for Legacy Counseling Services Llc, a provider established in Newport News, Virginia operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1427666106 assigned on July 2020. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Ebony Nickens (Owner)
- NPI
- 1427666106 Verify this NPI
- Provider Name
- LEGACY COUNSELING SERVICES LLC
- Entity Type
- Organization
- Location Address
- 622 WINDBROOK CIR NEWPORT NEWS, VA 23602
- Location Phone
- (804) 677-0223
- Mailing Address
- 622 WINDBROOK CIR NEWPORT NEWS, VA 23602
- Mailing Phone
- (804) 677-0223
- Mailing Fax
- (804) 210-1550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2020
- Last Update Date
- 07-17-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427666106, enumerated as an "organization" on July 17, 2020.
The provider is located at 622 WINDBROOK CIR NEWPORT NEWS, VA 23602 and the phone number is (804) 677-0223.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
