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

New Legacy Behavioral Health Professional Clinical Counselor Inc

Organization Community/Behavioral Health Agency · NPI 1336004746

New Legacy Behavioral Health Professional Clinical Counselor Inc is a Community/Behavioral Health Agency in Moreno Valley, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24904 Lear Ln
Moreno Valley, CA 92553-5875
Phone: (661) 742-4026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1336004746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine Mims — Ceo · (661) 742-4026
NPI enumeratedDecember 17, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address24904 Lear Ln, Moreno Valley, CA 92553-5875

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