Organization
LEGACY HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN DEMOND WILLIAMS JR. PRS (OWNER)
(757) 738-4959
Entity
Organization
Contact information
Practice address
223 E CITY HALL AVE STE 200B, NORFOLK, VA 23510-1700
(757) 738-4959
(443) 329-9452
Mailing address
223 E CITY HALL AVE STE 200B, NORFOLK, VA 23510-1700
(757) 738-4959
(443) 320-9452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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