The Legacy Group Foundation, Inc
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Bayboro, NC
NPI 1033601562 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1033601562
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CSAC-3017 (NC)
- Legal business name
- THE LEGACY GROUP FOUNDATION, INC
- Practice address
- 210 Vandemere Rd Unit a
Bayboro, NC 28515-8010 - Phone
- (910) 340-3630
- Fax
- (910) 597-1007
- NPI assigned
- May 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Nicole Denice Barnes, CSAC
- Title
- Ceo
- Phone
- (910) 340-3630
Practitioners 1
-
Nicole Denice Barnes, CSAC
National Provider Directory
Locations
210 Vandemere Rd
Unit A
Bayboro, NC 28515
Phone (910) 340-3630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CSAC-3017 | NC | Yes |
Addresses
Primary practice location
210 Vandemere Rd Unit a
Bayboro, NC 28515-8010
Mailing address
8 Carver Rd
Jacksonville, NC 28540-7010
Phone (910) 340-3630
Other providers in Bayboro, NC
- Dana Schelegle
- Francis Gerard Serio
- Victoria Ashley Smith
- Sheila L Stansberry
- Linda Ann Straub
- Ren A Thorne
- Trinity Adult and Senior Services LLC
- Tysha Deve Ushry
All providers in Bayboro, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.