Organization
LEGACY CLINICAL & CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALETA EPPS (CEO)
(804) 721-9715
Entity
Organization
Contact information
Practice address
208 N 2ND AVE STE 1, HOPEWELL, VA 23860-2703
(804) 506-0271
Mailing address
PO BOX 38178, HENRICO, VA 23231-0978
(804) 506-0271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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