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Organization
LEGACY ALLIANCE INCORPORATED
Active
Organization
LEGACY ALLIANCE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN BENN PH.D., LMHC (PRESIDENT/CEO)
(407) 399-7489
Entity
Organization
Contact information
Practice address
3948 ANDOVER CAY BLVD, ORLANDO, FL 32825-2739
(407) 399-7489
(407) 282-9377
Mailing address
3948 ANDOVER CAY BLVD, ORLANDO, FL 32825-2739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
251S00000X
Community/Behavioral Health Agency
MH6719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497871891
—
FL
Enumeration date
02/18/2014
Last updated
06/17/2023
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