| Legacy Counseling Services, Llc | |
|
6715 State Park Rd Travelers Rest SC 29690-1831 | |
| (864) 481-0004 | |
| (864) 438-5894 |
| Full Name | Legacy Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6715 State Park Rd, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Leo Newman (OWNER/THERAPIST) |
| Authorized Official Contact | 8644810004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Services, Llc 6715 State Park Rd Travelers Rest SC 29690-1831 Ph: (864) 481-0004 | Legacy Counseling Services, Llc 6715 State Park Rd Travelers Rest SC 29690-1831 Ph: (864) 481-0004 |
| NPI Number | 1689103251 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 06/20/2020 |
| Certification Date | 06/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689103251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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