Legacy League Family Wellness LLC
Legacy League Family Wellness LLC provides Clinical Social Worker services in Jamaica, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14215 110th AveJamaica, NY 11435-5624
Phone: (917) 923-5341
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1487361234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Twila Evanson — Executive Director · (917) 923-5341 |
| NPI enumerated | November 1, 2022 |
| Last updated in NPPES | November 1, 2022 |
| Certification date | November 1, 2022 |
| Mailing address | 14215 110th Ave, Jamaica, NY 11435-5624 |
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