Organization
LEGACY COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHAEL DUDLEY LCSW (OWNER)
(229) 630-5982
Entity
Organization
Contact information
Practice address
3790 OLD US 41 N STE A, VALDOSTA, GA 31602-6865
(229) 262-1000
Mailing address
4986 SUMMIT RIDGE RD, VALDOSTA, GA 31602
(229) 630-5982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
06/03/2019
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