| The Legacy Way | |
|
439 Tara Oaks Trl Lawrenceville GA 30043-3046 | |
| (908) 361-7811 | |
| Not Available |
| Full Name | The Legacy Way |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 439 Tara Oaks Trl, Lawrenceville, Georgia |
| Authorized Official Name and Position | Shelby Roche (DIRECTOR OF THERAPEUTICS) |
| Authorized Official Contact | 5169024714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Legacy Way 439 Tara Oaks Trl Lawrenceville GA 30043-3046 Ph: (908) 361-7811 | The Legacy Way 439 Tara Oaks Trl Lawrenceville GA 30043-3046 Ph: (908) 361-7811 |
| NPI Number | 1811837529 |
|---|---|
| Provider Enumeration Date | 03/31/2026 |
| Last Update Date | 03/31/2026 |
| Certification Date | 03/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811837529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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