| Legacy Counseling, Llc | |
|
544 S Ridge Rd Suite 106 Wichita KS 67209-2234 | |
| (316) 361-6850 | |
| Not Available |
| Full Name | Legacy Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 544 S Ridge Rd, Wichita, Kansas |
| Authorized Official Name and Position | Adam Gragg (PRESIDENT) |
| Authorized Official Contact | 3163616850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling, Llc 544 S Ridge Rd Suite 106 Wichita KS 67209-2234 Ph: (316) 361-6850 | Legacy Counseling, Llc 544 S Ridge Rd Suite 106 Wichita KS 67209-2234 Ph: (316) 361-6850 |
| NPI Number | 1851823686 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851823686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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