NPIMap

Organization Active NPI

New Legacy Counseling and Training Center

  • Point of Service
  • Atlanta, GA
National Provider Identifier
1992248298
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
005753 Issued in GA
Legal business name
NEW LEGACY COUNSELING AND TRAINING CENTER
Practice address
3350 Riverwood Parkway
Suite 1925
Atlanta, GA 30339
Phone
(770) 984-5341
Fax
(404) 549-4310
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mr. Ty Watson Sr., LPC
Title
Executive Director
Phone
(404) 889-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 005753 GA Primary

Addresses

Primary practice location

3350 Riverwood Parkway
Suite 1925
Atlanta, GA 30339

Mailing address

3350 Riverwood Parkway
Suite 1925
Atlanta, GA 30339
Phone (770) 984-5341

National Provider Directory

National Provider Directory

Locations

3350 Riverwood Pkwy SE
Ste 1925
Atlanta, GA 30339
Phone (770) 984-5341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1992248298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PARKWAY",
            "address_2": "SUITE 1925",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-984-5341",
            "fax_number": "404-549-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PARKWAY",
            "address_2": "SUITE 1925",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-984-5341",
            "fax_number": "404-549-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEGACY COUNSELING AND TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-889-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "005753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.