Amanda Jeanne Legg, MS, ADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CATC-I #3025 Issued in CA

Practice address

3390 N Berkeley Lake Rd NW Ste 100
Duluth, GA 30096-3006

Phone

(470) 704-5050

NPI assigned

Jul 31, 2013

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Detox Duluth, LLC

  • Substance Abuse Rehabilitation Facility
  • Duluth, GA
  • NPI 1649914813
  NPD

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1790117877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 SWEETWATER RD APT 1605",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446519",
            "telephone_number": "423-794-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 N BERKELEY LAKE RD NW STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963006",
            "telephone_number": "470-704-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGG",
        "first_name": "AMANDA",
        "middle_name": "JEANNE",
        "credential": "MS, ADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "CATC-I #3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunae Hyun Lee, PEDORTHIST
• Thomas Taesu Lee, DDS
• Yoon Jae Lee, M.D.
• Yoonjeong Lee, PT, DPT
• Scott Christopher Leeth, MD
• Stuart Anthony Lehn, M.D.
• Jessica Leonard, DMD
• Leslie Gaskill, MD, LLC
• Let's Talk Therapy
• Let's Talk Therapy Now, LLC

• Counselor in Duluth, GA
• Providers in Duluth, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.