Organization
THE LEGACY WAY
Active
Parent organization
LATTICE FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LATTICE FOUNDATION
Authorized official
SHELBY ROCHE LPC (DIRECTOR OF THERAPEUTICS)
(516) 902-4714
Entity
Organization
Contact information
Practice address
439 TARA OAKS TRL, LAWRENCEVILLE, GA 30043-3046
(908) 361-7811
Mailing address
439 TARA OAKS TRL, LAWRENCEVILLE, GA 30043-3046
(908) 361-7811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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