Organization
NEW LEGACY COUNSELING AND TRAINING CENTER
Active
Organization
NEW LEGACY COUNSELING AND TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY WATSON SR. LPC (EXECUTIVE DIRECTOR)
(404) 889-2300
Entity
Organization
Contact information
Practice address
3350 RIVERWOOD PARKWAY, SUITE 1925, ATLANTA, GA 30339
(770) 984-5341
(404) 549-4310
Mailing address
3350 RIVERWOOD PARKWAY, SUITE 1925, ATLANTA, GA 30339
(770) 984-5341
(404) 549-4310
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
005753
GA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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