Legacy Performance Partners, LLC

NPI #1629537295 in Pierre, South Dakota

Provider Information

NPI Number
1629537295
Entity Type
Organization
Organization Name
Legacy Performance Partners, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 13, 2019
Last Updated
Mar 13, 2019

Practice Location

Address
207 E CAPITOL AVE STE 206
City
Pierre
ZIP Code
57501-3159
Phone
(605) 494-0531

Authorized Official

Name
DR. ADA POWELL, PHD
Title
PSYCHOLOGIST
Phone
(605) 494-0531

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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