| Legacy Performance Partners, Llc | |
|
207 E Capitol Ave Ste 206 Pierre SD 57501-3159 | |
| (605) 494-0531 | |
| (605) 494-0562 |
| Full Name | Legacy Performance Partners, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 207 E Capitol Ave Ste 206, Pierre, South Dakota |
| Authorized Official Name and Position | Ada Powell (PSYCHOLOGIST) |
| Authorized Official Contact | 6054940531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Performance Partners, Llc 207 E Capitol Ave Ste 206 Pierre SD 57501-3159 Ph: (605) 494-0531 | Legacy Performance Partners, Llc 207 E Capitol Ave Ste 206 Pierre SD 57501-3159 Ph: (605) 494-0531 |
| NPI Number | 1629537295 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629537295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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