Legacy Healing & Therapy Services LLC

NPI #1881297109 in Herndon, Virginia

Provider Information

NPI Number
1881297109
Entity Type
Organization
Organization Name
Legacy Healing & Therapy Services LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Nov 19, 2020
Last Updated
Nov 19, 2020

Practice Location

Address
2162 ASTORIA CIR APT 403
ZIP Code
20170-4070
Phone
(571) 306-2286

Authorized Official

Name
RAVEN E DICKERSON, LCSW
Title
OWNER
Phone
(571) 306-2286

Specialties & Taxonomy Codes

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

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