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Organization

LEGACY COUNSELING CENTERS

Active
Parent organization
THE LEGACY CONSORTIUM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE LEGACY CONSORTIUM, INC.
Authorized official
LYRESA MCGRIFF LAPC (ADMINISTRATOR)
(678) 664-4311
Entity
Organization

Contact information

Practice address
848 HIRAM ACWORTH HWY BLDG 100, HIRAM, GA 30141-2286
(404) 334-7575
Mailing address
848 HIRAM ACWORTH HWY BLDG 100, HIRAM, GA 30141-2286
(404) 334-7575

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
GA

Other

Enumeration date
08/10/2018
Last updated
08/10/2018
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