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General NPI Number Information
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NPI Number | 1831026152
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Entity Type | Organization
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Legal Business Name | LEGACY COUNSELING, PLLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 37027 WHIPSTOCK RD
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City | MAGNOLIA
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State | TX
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Zip | 77354-1911
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Country | US
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Telephone | 346-226-2564
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Fax |
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Provider Business Mailing Address
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Address Line | 12075 QUARTERSAWN LN
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City | PINEHURST
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State | TX
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Zip | 77362-1526
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Country | US
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Telephone | 936-689-3972
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SERRA GREEN
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Credential | LPC
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Telephone | 936-689-3972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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