LEGACY COUNSELING AND CONSULTING OF SOUTH CAROLINA


Address: 62 Bridgeway Dr, Laurens, SC 29360-7452
Phone: 8647050005

LEGACY COUNSELING AND CONSULTING OF SOUTH CAROLINA (NPI# 1861005431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861005431
Entity Type Organization
Organization Name LEGACY COUNSELING AND CONSULTING OF SOUTH CAROLINA
Practice Address 62 Bridgeway Dr
Laurens
SC 29360-7452
Mailing Address Po Box 1895
Laurens
SC 29360-5048
Practice Telephone 8647050005
Mailing Telephone 8647050005
Enumeration Date 2020-08-24
Last Update Date 2020-08-24
Authorized Official Name MR. BRYANT ALLEN LAWSON (DIRECTOR)
Authorized Official Telephone 8647050005
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 62 BRIDGEWAY DR
City LAURENS
State SC
Zip Code 29360-7452

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629564323 Dj Healthcare Group Counselor 639 Sullivan Street, Laurens, SC 29360 2018-07-05
1770082158 Carrie Abigail Culbertson Counselor 112 Henderson Lane, Laurens, SC 29360 2018-02-12
1508305186 Amy Ledford Strickland Nurse Practitioner 22580 Highway 76 E Ste 300, Laurens, SC 29360 2017-02-16
1346785730 Virginia Smith Registered Nurse 1035 West Main Street, Laurens, SC 29360 2016-12-21
1245774066 Donna Gragg Licensed Practical Nurse 601 Lucas Ave, Laurens, SC 29360 2016-12-13
1174891840 Lori Hilley West Pharmacist 1518 W. Main St., Laurens, SC 29360 2011-12-08
1841575701 Lauren Allen Turner Speech-Language Pathologist 307 Pinehaven Street, Laurens, SC 29360 2011-10-11
1710217856 Rachael Carroll Occupational Therapy Assistant 379 Pinehaven St Ext, Laurens, SC 29360 2010-01-13
1437384245 Amy J Floyd Occupational Therapy Assistant 379 Pinehaven St. Ext, Laurens, SC 29360 2009-05-22
1275768228 Laurens Electric Cooperative Emergency Response System Companies 2254 Hwy 14, Laurens, SC 29360 2009-05-20
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1083225221 Emerge Counseling & Art Therapy Clinic/Center 19 Marina Village Ln. Unit 27, Beaufort, SC 29906-2990 2020-08-12
1083224240 Tanner Healthcare Services, LLC Clinic/Center 546 Long Pine Dr, Blythewood, SC 29016-7298 2020-08-03
1891303988 Providing H.o.p.e. By Srj Clinic/Center 3305 Goldenrod St, North Charleston, SC 29405-7866 2020-07-15
1427679919 All Are Welcome Counseling Clinic/Center 2669 Pecan Ln, Conway, SC 29526-6610 2020-05-06
1427678051 Colacalm LLC Clinic/Center 1332 Main St Ste 203205, Columbia, SC 29201-6201 2020-04-23
1447884705 Jennie Cassidy Psychologist LLC Clinic/Center 1511 9th Ave Ste C, Conway, SC 29526-4126 2020-02-26
1598305138 Kg Psychotherapy LLC Clinic/Center 711a Saint Andrews Blvd Ste A, Charleston, SC 29407-7140 2020-01-12
1992343982 Juniper Tree Counseling Svcs, LLC Clinic/Center 990 Lake Hunter Cir Ste 202, Mt Pleasant, SC 29464-5426 2019-12-20
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Competitor

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City LAURENS
Zip Code 29360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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