Organization
GORDON LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADY-DREAMA NOIR LISW-S, LICDC (SOCIAL WORKER)
(614) 600-6309
Entity
Organization
Contact information
Practice address
2996 SUMMIT SPRINGS DR, COLUMBUS, OH 43207-3498
(614) 594-9027
Mailing address
2996 SUMMIT SPRINGS DR, COLUMBUS, OH 43207-3498
(614) 594-9027
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
06/30/2025
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