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IM LEGACY COUNSELING & CONSULTATION SERVICES, LLC
NPI 1609519701
Social Worker - Clinical in Atlanta, GA

Active since April 16, 2022
3562 PIEDMONT RD NE APT 305, ATLANTA, GA 30305(614) 206-4452 Get Directions Write a Review

NPPES record last updated: April 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Im Legacy Counseling & Consultation Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IM LEGACY COUNSELING & CONSULTATION SERVICES, LLC (NPI 1609519701), doing business as I.m. Legacy Counseling & Consultation Services, Llc, is a healthcare organization registered as a clinical in Atlanta, Georgia and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Canal Winchester and lists Vaya Milan Fraley, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1609519701
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIM LEGACY COUNSELING & CONSULTATION SERVICES, LLC
Location Address3562 PIEDMONT RD NE APT 305Atlanta, GA 30305-7003
Mailing Address3737 Easton Market Unit 1201Columbus, OH 43219-6023 · (614) 706-1899
Phone(614) 206-4452
Organization SubpartNo
Authorized OfficialVaya Milan FraleyCo-founder · (614) 706-1899
Enumeration DateApril 16, 2022
NPPES CertifiedApril 16, 2022
✔ NPI 1609519701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3562 PIEDMONT RD NE APT 305, Atlanta, GA 30305
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Other Names 1

Doing Business AsI.m. Legacy Counseling & Consultation Services, Llc

Secondary Practice Location 1

Location 16220 Harmon Glen LnCanal Winchester, OH 43110-8086 · Phone (614) 206-4452

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Im Legacy Counseling & Consultation Services, LLC's NPI number?

The NPI number for Im Legacy Counseling & Consultation Services, LLC is 1609519701. It was assigned to this organization in the NPPES registry on April 16, 2022. The provider is doing business as I.M. Legacy Counseling & Consultation Services, LLC.

Where is Im Legacy Counseling & Consultation Services, LLC located?

Im Legacy Counseling & Consultation Services, LLC is located at 3562 Piedmont Rd NE Apt 305, Atlanta, GA 30305. The listed phone number is (614) 206-4452.

What is Im Legacy Counseling & Consultation Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Im Legacy Counseling & Consultation Services, LLC was last updated on April 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.