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Organization
LIVING LEGACY, INC.
Active
Organization
LIVING LEGACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELENA NICOLE SMITH PH.D., LAPSW,LADACII (DIRECTOR)
(901) 672-7857
Entity
Organization
Contact information
Practice address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 672-7857
(615) 658-4559
Mailing address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 672-7857
(615) 658-4559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
251V00000X
Voluntary or Charitable Agency
LMSW0000006120
TN
Other
Enumeration date
04/02/2009
Last updated
02/19/2021
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