Legacy Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LEGACY CENTER, PLLC

Practice address

140 S Main St Ste 28
Collierville, TN 38017-3044

Phone

(901) 610-0423

Fax

(901) 610-0432

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Carlye Hutchinson, LPC-MHSPNPI 1366987703

Title

Owner, Counselor

Phone

(901) 610-0423

Specialties & licenses 1

Addresses

Other names 1

• Carlye Carpenter Hutchinson Former legal business name

Locations

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.

• Carlye Carpenter Hutchinson

  • Professional Counselor
  • Collierville, TN
  • NPI 1366987703
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1225766926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST STE 28",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173044",
            "telephone_number": "901-610-0423",
            "fax_number": "901-610-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST STE 28",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173044",
            "telephone_number": "901-610-0423",
            "fax_number": "901-610-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "CARLYE",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "901-610-0423",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlye Carpenter Hutchinson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Professional Counselor in Collierville, TN
• Providers in Collierville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.