| Legacy Counseling And Consulting, Llc | |
|
8312 Governor Grayson Way Ellicott City MD 21043-3450 | |
| (443) 253-4398 | |
| (410) 203-2626 |
| Full Name | Legacy Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8312 Governor Grayson Way, Ellicott City, Maryland |
| Authorized Official Name and Position | Tracey Lynne Williams (LICENSED THERAPIST) |
| Authorized Official Contact | 4432534398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling And Consulting, Llc 8312 Governor Grayson Way Ellicott City MD 21043-3450 Ph: (443) 253-4398 | Legacy Counseling And Consulting, Llc 8312 Governor Grayson Way Ellicott City MD 21043-3450 Ph: (443) 253-4398 |
| NPI Number | 1235735135 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235735135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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