| Pure, Life, Legacy Counseling Services, Llc | |
|
7240 Gentry Rd Marrero LA 70072-4576 | |
| (504) 427-9305 | |
| Not Available |
| Full Name | Pure, Life, Legacy Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7240 Gentry Rd, Marrero, Louisiana |
| Authorized Official Name and Position | Briyon Green (MANAGING MEMBER) |
| Authorized Official Contact | 5044279305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure, Life, Legacy Counseling Services, Llc 7240 Gentry Rd Marrero LA 70072-4576 Ph: () - | Pure, Life, Legacy Counseling Services, Llc 7240 Gentry Rd Marrero LA 70072-4576 Ph: (504) 427-9305 |
| NPI Number | 1740974559 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740974559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 4 days ago
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