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General NPI Number Information
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NPI Number | 1437041837
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Entity Type | Organization
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Legal Business Name | LEGACY CONSULTING AND COUNSELING SOLUTIONS
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 5265 NW NORTH MACEDO BLVD STE 286
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1428
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Country | US
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Telephone | 772-237-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 NW NORTH MACEDO BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1428
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Country | US
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Telephone | 772-237-9957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA GEFFRAND
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Credential |
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Telephone | 772-237-9957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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