Healthcare Provider Details

I. General information

NPI: 1609433507
Provider Name (Legal Business Name): TEMPLE LEGACY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2019
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

IV. Provider business mailing address

PO BOX 1803
CUBA NM
87013-1803
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-4474
  • Fax:
Mailing address:
  • Phone: 267-258-8423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. SABRINA ROSEMARY GONZALEZ
Title or Position: OWNER
Credential: DSW-LCSW
Phone: 267-258-8423