Legacy Counseling Center Inc in Dallas - Clinical
Legacy Counseling Center Inc - NPI 1770510075
Legacy Counseling Center Inc is a Clinical in Dallas, Texas. Legacy Counseling Center Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Legacy Counseling Center Inc is 1770510075. The last update date is 2017-05-31.
Legacy Counseling Center Inc's current location address is 4054 Mckinney Ave Ste 102, Dallas, Texas. You can contact this provider via phone number 2145206308. The mailing address for Legacy Counseling Center Inc is 4054 Mckinney Ave Ste 102, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Counseling Center Inc |
|---|---|
| Address | 4054 Mckinney Ave Ste 102, Dallas, Texas |
| Phone Number | 2145206308 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Grove Melissa |
| Credentials | LPC, M.S. |
| Telephone Number | 2145206308 |
NPI Number Detail
| NPI Number | 1770510075 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2017-05-31 |
Provider Mailing Address Detail
| Address | 4054 Mckinney Ave Ste 102 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752042050 |
| Phone Number | 2145206308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S18803 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55GT | BCBS | ||
| 79683102 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Legacy Counseling Center Inc by the Centers for Medicare & Medicaid Services?
The Legacy Counseling Center Inc has been assigned the NPI (National Provider Identifier) 1770510075 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Legacy Counseling Center Inc located?
The Legacy Counseling Center Inc is located at 4054 Mckinney Ave Ste 102, Dallas, TX 752042050.
What is Legacy Counseling Center Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Legacy Counseling Center Inc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Legacy Counseling Center Inc receive its 1770510075 assignment from the Centers for Medicare & Medicaid Services?
The Legacy Counseling Center Inc was assigned its 1770510075 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date was the information pertaining to Legacy Counseling Center Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Legacy Counseling Center Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-31.