New Legacy Behavioral Health Licensed Professional Clinical Counselor INC
NPI #1336004746 in Moreno Valley, California
Provider Information
- NPI Number
- 1336004746
- Entity Type
- Organization
- Organization Name
- New Legacy Behavioral Health Licensed Professional Clinical Counselor INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 17, 2025
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 24904 LEAR LN
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-5875
- Phone
- (661) 742-4026
Authorized Official
- Name
- JASMINE MIMS, LPCC
- Title
- CEO
- Phone
- (661) 742-4026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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