| Legacy Therapeutic Consulting, Llc | |
|
2121 S Blackhawk St Suite 210 Aurora CO 80014-1487 | |
| (303) 917-4145 | |
| Not Available |
| Full Name | Legacy Therapeutic Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2121 S Blackhawk St, Aurora, Colorado |
| Authorized Official Name and Position | Amy J. Sams (OWNER) |
| Authorized Official Contact | 3039174145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Therapeutic Consulting, Llc 2121 S Blackhawk St Suite 210 Aurora CO 80014-1487 Ph: (303) 917-4145 | Legacy Therapeutic Consulting, Llc 2121 S Blackhawk St Suite 210 Aurora CO 80014-1487 Ph: (303) 917-4145 |
| NPI Number | 1225325251 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225325251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1328 (Colorado) | Primary |
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