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Organization
LEGACY LIFE CENTER LLC
Active
Organization
LEGACY LIFE CENTER LLC
Active
Other names
Mind Right Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALESIA HARPER (CHAIRMAN)
(949) 463-3881
Entity
Organization
Contact information
Practice address
4530 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-6181
(702) 507-0553
Mailing address
1350 E FLAMINGO RD # 412, LAS VEGAS, NV 89119-5263
(702) 507-0553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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