Organization
LEGACY THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA ALSTON (MANAGER)
(919) 685-2324
Entity
Organization
Contact information
Practice address
4200 SUNSET FALLS RD, WAKE FOREST, NC 27587-4312
(919) 685-2324
Mailing address
7800 FALLS OF NEUSE RD UNIT 97982, RALEIGH, NC 27624-0144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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