Organization
LEGACY FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SPEARS LIMHP (OWNER)
(402) 676-0031
Entity
Organization
Contact information
Practice address
7702 S 200TH ST, GRETNA, NE 68028-5070
(402) 676-0031
Mailing address
7702 S 200TH ST, GRETNA, NE 68028-5070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
12/12/2024
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