Organization
PURE, LIFE, LEGACY COUNSELING SERVICES, LLC
Active
Organization
PURE, LIFE, LEGACY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIYON GREEN (MANAGING MEMBER)
(504) 427-9305
Entity
Organization
Contact information
Practice address
7240 GENTRY RD, MARRERO, LA 70072-4576
(504) 427-9305
Mailing address
7240 GENTRY RD, MARRERO, LA 70072-4576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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