Family Legacy Mental Health Services Inc
Counselor Clinic
1007 Broad St, Durham
North Carolina, 27705-4143
919-834-2000 919-834-2001
Maps & DirectionsFamily 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 13 May, 2024.