Organization
LEGACY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN J. RECEVEUR LCSW (SOLE PROVIDER/OWNER)
(732) 865-4182
Entity
Organization
Contact information
Practice address
104 MAPLE AVENUE, #110, RED BANK, NJ 07701
(732) 865-4182
(732) 530-6361
Mailing address
104 MAPLE AVENUE, #110, RED BANK, NJ 07701
(732) 865-4182
(732) 530-6361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC04741400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214789262-001
BLUE CROSS BLUE SHIELD PPO. TRADITIONAL, EMPIRE, BLUE CARD
NJ
Enumeration date
02/02/2011
Last updated
02/05/2026
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