Organization
LEGENDARY CONNECTIONS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA COWAN PATTERSON LPC (OWNER)
(706) 399-6284
Entity
Organization
Contact information
Practice address
1227 AUGUSTA WEST PKWY, SUITE 3, AUGUSTA, GA 30909-6670
(706) 432-1584
Mailing address
1227 AUGUSTA WEST PKWY, SUITE 3, AUGUSTA, GA 30909-6670
(706) 432-1584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC005565
GA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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