| Legacy Life Care Programs | |
|
1324 Trotwood Ave Ste 11 Columbia TN 38401-4750 | |
| (931) 626-1644 | |
| (931) 381-5363 |
| Full Name | Legacy Life Care Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1324 Trotwood Ave Ste 11, Columbia, Tennessee |
| Authorized Official Name and Position | Linda R Smith (CEO/PRESIDENT) |
| Authorized Official Contact | 9312152182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Life Care Programs 100 N. Bigby Dr. Columbia TN 38401-4704 Ph: (931) 215-2182 | Legacy Life Care Programs 1324 Trotwood Ave Ste 11 Columbia TN 38401-4750 Ph: (931) 626-1644 |
| NPI Number | 1962746842 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 09/02/2025 |
| Certification Date | 02/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962746842 | NPI | - | NPPES |
| 1437420742 | Medicaid | TN | |
| NPI 1265768428 | Other | TN | SUPERVISOR |
| Q006613 | Medicaid | TN | |
| 1962746842 | Other | TN | GROUP NPI |
| 1225450802 | Other | TN | INDIVIDUAL PROVIDER NPI |
| 1669548608 | Other | TN | SUPERVISING PROVIDER NPI |
| H445654 | Medicaid | TN | |
| Q010864 | Medicaid | TN |
Centerstone Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1500 | |
Family Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 854 W James Campbell Blvd, Columbia, TN 38401 Phone: 931-490-0999 Fax: 931-490-0555 | |
Wild Ethos Family Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3148 Carrington Ln, Columbia, TN 38401 Phone: 931-539-0373 | |
Brave Robins Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N High St, Columbia, TN 38401 Phone: 931-774-0048 | |
Virginia M. Andrews Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Trotwood Ave Ste 6, Columbia, TN 38401 Phone: 931-223-5711 | |
Alicia A Victory, Psyd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Walnut Ln, Columbia, TN 38401 Phone: 615-625-2117 Fax: 865-246-2104 | |
Middle Tennessee Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 854 W. James Campbell Blvd, Ste 304, Columbia, TN 38401 Phone: 931-548-2023 |