Organization
LEGACY COACHING AND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE GREGORY LISW (CEO & THERAPIST)
(515) 480-1641
Entity
Organization
Contact information
Practice address
2330 ROCKLYN DR, URBANDALE, IA 50322-4935
(404) 896-7417
(515) 513-3153
Mailing address
14708 HORTON AVE, URBANDALE, IA 50323-2471
(515) 480-1641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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