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Organization

LEGACY LIFE CENTER LLC

Active
Other names
Mind Right Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALESIA HARPER (CHAIRMAN)
(949) 463-3881
Entity
Organization

Contact information

Practice address
4530 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-6181
(702) 507-0553
Mailing address
1350 E FLAMINGO RD # 412, LAS VEGAS, NV 89119-5263
(702) 507-0553

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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