Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Im Legacy Counseling & Consultation Services, LLC

Organization Clinical Social Worker · NPI 1609519701

Im Legacy Counseling & Consultation Services, LLC is a Clinical Social Worker in Atlanta, Georgia. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3562 Piedmont Rd NE Apt 305
Atlanta, GA 30305-7003
Phone: (614) 206-4452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6220 Harmon Glen Ln, Canal Winchester, OH 43110-8086 — (614) 206-4452

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609519701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vaya Fraley — Co-Founder · (614) 706-1899
Other names I.M. Legacy Counseling & Consultation Services, Llc
NPI enumeratedApril 16, 2022
Last updated in NPPESApril 16, 2022
Certification dateApril 16, 2022
Mailing address3737 Easton Market Unit 1201, Columbus, OH 43219-6023

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