Family Legacy Mental Health Services Inc is a Counselor Clinic in Durham, North Carolina. It is located at 1007 Broad St, Durham, NC and its contact number is 919-834-2000. The authorized person for Family Legacy Mental Health Services Inc is Lisa Dyan Stacey
who is Ceo of the clinic and his/her contact number is 919-834-2000. Family Legacy Mental Health Services Inc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Family Legacy Mental Health Services Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Family Legacy Mental Health Services Inc
Specialization:
Professional Counselor
Clinic Address:
1007 Broad St, Durham, North Carolina, 27705-4143
Phone:
919-834-2000
Fax:
919-834-2001
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lisa Dyan Stacey
Position:
Ceo
Contact Number:
919-834-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Family Legacy Mental Health Services Inc clinic are as mentioned below.
NPI Number:
1932371655
NPI Enumeration Date:
02 Apr, 2008
NPI Last Update On:
18 Jun, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Family Legacy Mental Health Services Inc are as mentioned below.
Specialization
License Number
State
Status
Community/behavioral Health
Primary
Professional
6102775
North Carolina
Secondary
Clinical
6107485
North Carolina
Secondary
Counseling
6001168
North Carolina
Secondary
Marriage & Family Therapist
6105171
North Carolina
Secondary
Adolescent Medicine
9300596
North Carolina
Secondary
Case Management
Secondary
Physician Assistant
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8302925
Medicaid
North Carolina
8302411
Medicaid
North Carolina
5913953
Medicaid
North Carolina
6006506
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Family Legacy Mental Health Services Inc 1011 Schaub Dr, Suite 200 Raleigh, North Carolina
Zip:
27606-1862
Phone Number:
919-834-2000
Fax Number:
919-834-2001
Patients can reach Family Legacy Mental Health Services Inc at 1007 Broad St, Durham, North Carolina or can call to book an appointment on 919-834-2000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.