Provider Demographics
NPI:1255082384
Name:LEGACY CONSULTING
Entity type:Organization
Organization Name:LEGACY CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELL
Authorized Official - Middle Name:K
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LLCSW, CLC
Authorized Official - Phone:202-276-4653
Mailing Address - Street 1:1112 16TH ST NW STE 600
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-4814
Mailing Address - Country:US
Mailing Address - Phone:202-972-3867
Mailing Address - Fax:202-758-2742
Practice Address - Street 1:1112 16TH ST NW STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4814
Practice Address - Country:US
Practice Address - Phone:202-972-3867
Practice Address - Fax:202-758-2742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty