Legacy Sports and Sel Strategies LLC
NPI #1417702366 in New Castle, Delaware
Provider Information
- NPI Number
- 1417702366
- Entity Type
- Organization
- Organization Name
- Legacy Sports and Sel Strategies LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Apr 23, 2024
Practice Location
- Address
- 2 MALLORY CT
- City
- New Castle
- State
- Delaware
- ZIP Code
- 19720-8852
- Phone
- (646) 594-4281
Authorized Official
- Name
- MR. ALPHONSO LEWIS SHEPHERD, M.S.
- Title
- BUSINESS OWNER
- Phone
- (646) 594-4281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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