Legacy Counseling Centers

NPI #1285113183 in Hiram, Georgia

Provider Information

NPI Number: 1285113183
Entity Type: Organization
Organization Name: Legacy Counseling Centers
Subpart: Yes (part of a larger organization)
Parent Organization: THE LEGACY CONSORTIUM, INC.
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 10, 2018
Last Updated: Aug 10, 2018

Practice Location

Address: 848 HIRAM ACWORTH HWY BLDG 100
City: Hiram
State: Georgia
ZIP Code: 30141-2286
Phone: (404) 334-7575

Authorized Official

Name: LYRESA MCGRIFF, LAPC
Title: ADMINISTRATOR
Phone: (678) 664-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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