Legacy Counseling and Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY COUNSELING AND CONSULTING, LLC

Practice address

3790 Old US 41 N Ste a
Valdosta, GA 31602-6865

Phone

(229) 262-1000

NPI assigned

Feb 19, 2019

Last updated

Jun 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rachael Dudley, LCSWNPI 1235100348

Title

Owner

Phone

(229) 630-5982

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachael Dawn Dudley, LCSW

  • Clinical Social Worker
  • Moody AFB, GA
  • NPI 1235100348
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1114483658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 SUMMIT RIDGE RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-630-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD US 41 N STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026865",
            "telephone_number": "229-262-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 N Patterson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022577",
            "country_code": "US",
            "telephone_number": "229-232-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-630-5982",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anna Lee, M.ED., CCC-SLP
• Lynn S Lee, M.D.
• Mark Wooryul Lee
• Stephanie Lee
• Vinson Lee, LMFT
• Trent Leisey, DC
• Davis Page Lester, M.D.
• Carrie Mata Levandoski, LCSW
• Kate A Leverett, LMSW
• Dynesha Lewis

• Community/Behavioral Health Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.