LINEAGE & LEGACY NPI 1295410967

NPI Information

NPI: 1295410967
Provider Name: LINEAGE & LEGACY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2512 FARRINGTON WAY
EAST PALO ALTO, CA
ZIP 94303
Phone: (408) 661-5795
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LINEAGE & LEGACY is a mental health counselor in East Palo Alto, CA. LINEAGE & LEGACY NPI is 1295410967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2512 FARRINGTON WAY
EAST PALO ALTO, CA
ZIP 94303-118
Phone: (408) 661-5795
Fax: (408) 608-3347

The provider's authorized official is Tamara Smith-jones .
The authorized official title is Confidante and has the following contact phone number (408) 661-5795.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YP2500X	Counselor	Professional	No
3	174H00000X	Health Educator		No
4	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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