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Legacy Wellness Services Llc
Adult Mental Health Clinic/Center in Hattiesburg, Mississippi
NPI 1912579202

Legacy Wellness Services Llc is an Adult Mental Health Clinic/Center based in Hattiesburg, MS and is specialized in Adult Mental Health. Legacy Wellness Services Llc practices in Hattiesburg, MS. The NPI Number for Legacy Wellness Services Llc is 1912579202 and holds a License No. (Mississippi).

The current practice location address for Legacy Wellness Services Llc is 6068 Us Hwy 98 West, Hattiesburg, MS and can be reached out via phone at 228-231-0516.

Location: 6068 Us Hwy 98 West, Hattiesburg, MS, 39402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912579202
Provider Name
Legacy Wellness Services Llc
Credential
Provider Entity Type
Organization
Address
6068 Us Hwy 98 West, Hattiesburg, MS, 39402
Phone Number
228-231-0516
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6068 Us Hwy 98 West
City
Hattiesburg
State
Mississippi
Zip
39402
Phone Number
228-231-0516
Fax Number
person
Provider Business Mailing Address Details
Address
6068 Us Hwy 98 West
City
Hattiesburg
State
Mississippi
Zip
39402
Phone Number
228-231-0516
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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