Organization
KA LEGACY INC
Active
Other names
Legacy Online Counseling and Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA TATROE LPC (CEO)
(870) 919-6585
Entity
Organization
Contact information
Practice address
103 W FLEEMAN, MANILA, AR 72442
(870) 919-6585
Mailing address
103 W FLEEMAN, MANILA, AR 72442-9187
(870) 919-6585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333776744
—
AR
01
—
429713402
UNITED HEALTH
AR
Enumeration date
11/02/2023
Last updated
07/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up