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Organization

LEGACY BEHAVIORAL SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE COFIELD PA-C (MEDICAL DIRECTOR)
(810) 513-9611
Entity
Organization

Contact information

Practice address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
(810) 513-9611
Mailing address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
(734) 274-9404
(734) 822-0075

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
06/25/2025
Last updated
08/22/2025
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