Legacy Counseling Services | |
15938 Us Highway 17 Townsend GA 31331-3706 | |
(912) 342-2788 | |
(877) 408-8199 |
Full Name | Legacy Counseling Services |
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Speciality | Counselor - Professional |
Location | 15938 Us Highway 17, Townsend, Georgia |
Authorized Official Name and Position | Aundra Simmons Vaughn (OWNER/PROVIDER) |
Authorized Official Contact | 9123422788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Counseling Services 1038 Breeze Way Ave Ne Townsend GA 31331-6511 Ph: (912) 342-2788 | Legacy Counseling Services 15938 Us Highway 17 Townsend GA 31331-3706 Ph: (912) 342-2788 |
NPI Number | 1336656578 |
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Provider Enumeration Date | 01/09/2018 |
Last Update Date | 12/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336656578 | NPI | - | NPPES |
003201308A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC008947 (Georgia) | Primary |