Active NPI
Legendary Connections Therapeutic Services, LLC
- Community/Behavioral Health Agency
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC005565
- Legal business name
- LEGENDARY CONNECTIONS THERAPEUTIC SERVICES, LLC
- Practice address
- 1227 Augusta West Pkwy
Suite 3
Augusta, GA 30909-6670 - Phone
- (706) 432-1584
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latonya Cowan Patterson, LPC
- Title
- Owner
- Phone
- (706) 399-6284
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC005565 | GA | Primary |
Addresses
Primary practice location
1227 Augusta West Pkwy
Suite 3
Augusta, GA 30909-6670
Mailing address
1227 Augusta West Pkwy
Suite 3
Augusta, GA 30909-6670
Phone (706) 432-1584
National Provider Directory
National Provider DirectoryLocations
1227 Augusta West Pkwy
Ste 3
Augusta, GA 30909
Phone (706) 432-1584
Practitioners & affiliated clinicians
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.
-
- Professional Counselor
- Thomson, GA
- NPI 1962889196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1811346265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 AUGUSTA WEST PKWY",
"address_2": "SUITE 3",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096670",
"telephone_number": "706-432-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 AUGUSTA WEST PKWY",
"address_2": "SUITE 3",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096670",
"telephone_number": "706-432-1584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGENDARY CONNECTIONS THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "LATONYA",
"authorized_official_middle_name": "COWAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-399-6284",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC005565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.