Legacy Counseling Service

NPI #1205377678 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1205377678
Entity Type: Organization
Organization Name: Legacy Counseling Service
Primary Specialty: Psychologist
Enumeration Date: Mar 17, 2017
Last Updated: Sep 4, 2022

Practice Location

Address: 2035A WEST HOUSTON STREET
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8792
Phone: (918) 505-4367

Authorized Official

Name: DR. MELISSA JEAN LEEDY, PH.D.
Title: OWNER/OPERTOR
Phone: (918) 505-4367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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