| Legacy Center, Pllc | |
|
140 S Main St Ste 28 Collierville TN 38017-3044 | |
| (901) 610-0423 | |
| (901) 610-0432 |
| Full Name | Legacy Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 140 S Main St Ste 28, Collierville, Tennessee |
| Authorized Official Name and Position | Carlye Hutchinson (OWNER, COUNSELOR) |
| Authorized Official Contact | 9016100423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Center, Pllc 140 S Main St Ste 28 Collierville TN 38017-3044 Ph: (901) 610-0423 | Legacy Center, Pllc 140 S Main St Ste 28 Collierville TN 38017-3044 Ph: (901) 610-0423 |
| NPI Number | 1225766926 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225766926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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