| Legacy Counseling And Consulting, Llc | |
|
3790 Old Us 41 N Ste A Valdosta GA 31602-6865 | |
| (229) 262-1000 | |
| Not Available |
| Full Name | Legacy Counseling And Consulting, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3790 Old Us 41 N Ste A, Valdosta, Georgia |
| Authorized Official Name and Position | Rachael Dudley (OWNER) |
| Authorized Official Contact | 2296305982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling And Consulting, Llc 4986 Summit Ridge Rd Valdosta GA 31602 Ph: (229) 630-5982 | Legacy Counseling And Consulting, Llc 3790 Old Us 41 N Ste A Valdosta GA 31602-6865 Ph: (229) 262-1000 |
| NPI Number | 1114483658 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114483658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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