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Organization
LEGACY COUNSELING CENTER LLC
Active
Organization
LEGACY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA COUNSELING CRAVILLION LPC-MHSP (OWNER/THERAPIST)
(931) 551-0367
Entity
Organization
Contact information
Practice address
211 DUNBAR CAVE RD STE 235C, CLARKSVILLE, TN 37043-8847
(931) 551-0367
Mailing address
211 DUNBAR CAVE RD STE 235C, CLARKSVILLE, TN 37043-8847
(931) 551-0367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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