Organization
LEGACY PERFORMANCE PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADA POWELL PHD (PSYCHOLOGIST)
(605) 494-0531
Entity
Organization
Contact information
Practice address
207 E CAPITOL AVE STE 206, PIERRE, SD 57501-3159
(605) 494-0531
(605) 494-0562
Mailing address
207 E CAPITOL AVE STE 206, PIERRE, SD 57501-3159
(605) 494-0531
(605) 494-0562
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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