Organization
LARRY T LEGG II LCSW LLC
Active
Organization
LARRY T LEGG II LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY THEODORE LEGG II LCSW (MANAGING MEMBER)
(813) 965-2800
Entity
Organization
Contact information
Practice address
8019 N HIMES AVE, SUITE 311, TAMPA, FL 33614-2712
(813) 965-2800
(813) 933-4265
Mailing address
1820 LATELIA CT, TRINITY, FL 34655-4907
(813) 965-2800
(813) 933-4265
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 5685
FL
Other
Enumeration date
01/27/2008
Last updated
08/14/2008
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