MEDICARE: LEGACY CONSULTING AND COUNSELING SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	2084P0800X	Psychiatry Physician
3	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist
4	364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437041837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY CONSULTING AND COUNSELING SOLUTIONS

Provider Business Mailing Address
First Line	:	5265 NW NORTH MACEDO BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-1428
Country	:	US
Telephone Number	:	772-237-9957
Fax Number	:

Provider Business Practice Location Address
First Line	:	5265 NW NORTH MACEDO BLVD STE 286
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-1428
Country	:	US
Telephone Number	:	772-237-9957
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA GEFFRAND
Credential	:
Telephone Number	:	772-237-9957

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	07/18/2025

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