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General NPI Number Information
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NPI Number | 1235772617
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Entity Type | Organization
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Legal Business Name | LEGACY COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 201 S SKINKER BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2317
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Country | US
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Telephone | 314-485-9330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32892
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City | SAINT LOUIS
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State | MO
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Zip | 63132-8892
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Country | US
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Telephone | 314-328-1757
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Fax | 855-582-1697
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Authorized Official
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Title or Position | OWNER
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Name | DAWN JONES
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Credential | MAC
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Telephone | 314-328-1757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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