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

Legacy Wellness Services LLC

Organization Mental Health Counselor · NPI 1912579202

Legacy Wellness Services LLC is a Mental Health Counselor in Hattiesburg, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

6068 US Hwy 98 W
Hattiesburg, MS 39402
Phone: (228) 231-0516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1912579202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Lewis — Clinical Director · (228) 231-0516
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address6068 Us Hwy 98 West, Ste 1 Box 304, Hattiesburg, MS 39402

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