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Organization
LEGACY COUNSELING LLC
Active
Organization
LEGACY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALA DEVI DEODHARI-BENI LCSW (CEO/OWNER)
(732) 672-9051
Entity
Organization
Contact information
Practice address
263 MAIN ST, WHITEHOUSE STATION, NJ 08889-3737
(732) 672-9051
Mailing address
#1045 555 HIGH STREET, STE 9, MOUNT HOLLY, NJ 08060-1062
(732) 991-1556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05563800
NJ
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
44SC05563800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-2066325
—
NJ
Enumeration date
05/05/2016
Last updated
02/14/2026
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