| Legacy Counseling Center Llc | |
|
211 Dunbar Cave Rd Ste 235c Clarksville TN 37043-8847 | |
| (931) 551-0367 | |
| Not Available |
| Full Name | Legacy Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 211 Dunbar Cave Rd Ste 235c, Clarksville, Tennessee |
| Authorized Official Name and Position | Shawna Counseling Cravillion (OWNER/THERAPIST) |
| Authorized Official Contact | 9315510367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Center Llc 211 Dunbar Cave Rd Ste 235c Clarksville TN 37043-8847 Ph: (931) 551-0367 | Legacy Counseling Center Llc 211 Dunbar Cave Rd Ste 235c Clarksville TN 37043-8847 Ph: (931) 551-0367 |
| NPI Number | 1467269530 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467269530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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