Organization
LEGACY COMMUNITY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR WHITE SR. EDD, MA, LPC, LAC, (DIRECTOR/FOUNDER)
(318) 730-9757
Entity
Organization
Contact information
Practice address
2907 HOUSTON ST, ALEXANDRIA, LA 71301-4332
(318) 427-7748
Mailing address
500 REED AVE, EUNICE, LA 70535-3238
(318) 730-9757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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