Family Legacy Mental Health Services Inc in Raleigh - Clinical
Family Legacy Mental Health Services Inc - NPI 1932371655
Family Legacy Mental Health Services Inc is a Clinical in Raleigh, North Carolina. Family Legacy Mental Health Services Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Family Legacy Mental Health Services Inc is 1932371655. The last update date is 2014-06-18.
Family Legacy Mental Health Services Inc's current location address is 1011 Schaub Dr, Raleigh, North Carolina. You can contact this provider via phone number 9198342000 and fax number 9198342001. The mailing address for Family Legacy Mental Health Services Inc is 1011 Schaub Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Legacy Mental Health Services Inc |
|---|---|
| Address | 1011 Schaub Dr, Raleigh, North Carolina |
| Phone Number | 9198342000 |
| Fax Number | 9198342001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stacey Dyan Lisa |
| Credentials | B.S. Q.P |
| Telephone Number | 9198342000 |
NPI Number Detail
| NPI Number | 1932371655 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2014-06-18 |
Provider Mailing Address Detail
| Address | 1011 Schaub Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276061862 |
| Phone Number | 9198342000 |
| Fax Number | 9198342001 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6107485 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8302925 | NC | -- | |
| 8302411 | NC | -- | |
| 5913953 | NC | -- | |
| 6006506 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Family Legacy Mental Health Services Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Family Legacy Mental Health Services Inc has been assigned the NPI (National Provider Identifier) 1932371655. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Family Legacy Mental Health Services Inc is geographically located?
The Family Legacy Mental Health Services Inc is physically situated at the following location: 1011 Schaub Dr, Raleigh, NC, 276061862.
What is Family Legacy Mental Health Services Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Family Legacy Mental Health Services Inc is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Family Legacy Mental Health Services Inc receive its 1932371655 assignment from the Centers for Medicare & Medicaid Services?
The Family Legacy Mental Health Services Inc was assigned its 1932371655 by the Centers for Medicare & Medicaid Services on 2008-04-02.
As of what date were the Family Legacy Mental Health Services Inc's details last updated?
The information pertaining to the Family Legacy Mental Health Services Inc, including its address, specialty, and other details, was most recently updated on 2014-06-18.
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