Organization
LEGACY COUNSELING LLC
Active
Organization
LEGACY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HARRIS (MANAGER)
(888) 371-8112
Entity
Organization
Contact information
Practice address
6564 LOISDALE CT STE 600, SPRINGFIELD, VA 22150-1829
(888) 371-8112
(866) 936-3517
Mailing address
PO BOX 36030, NORTH CHESTERFIELD, VA 23235-8001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
06/28/2017
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