Organization · Type 2 NPI

Legacy Life Center LLC

Mental Health Counselor · Las Vegas, NV

NPI number 1912478173 Active

Practice location

4530 S Eastern Ave Ste 1
Las Vegas, NV 89119-6181

Call (702) 507-0553 Map

Mailing address

1350 E Flamingo Rd # 412
Las Vegas, NV 89119-5263

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

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About NPI 1912478173

Legacy Life Center LLC's National Provider Identifier is 1912478173, issued on Dec 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 16, 2018.