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Legendary Counseling, Pllc
Adolescent and Children Mental Health Clinic/Center in Tyler, Texas
NPI 1356953046

Legendary Counseling, Pllc is an Adolescent and Children Mental Health Clinic/Center based in Tyler, TX and is specialized in Adolescent and Children Mental Health. Legendary Counseling, Pllc practices in Tyler, TX. The NPI Number for Legendary Counseling, Pllc is 1356953046 and holds a License No. (Texas).

The current practice location address for Legendary Counseling, Pllc is 7925 S Broadway Ave Ste 440, Tyler, TX and can be reached out via phone at 903-705-6552 and via fax at 903-705-6532. You can also correspond with Legendary Counseling, Pllc through the mailing address at 7925 S BROADWAY AVE STE 440, TYLER, TX - 75703-5297 (mailing address contact number: 903-705-6552).

Location: 7925 S Broadway Ave Ste 440, Tyler, TX, 75703-5297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356953046
Provider Name
Legendary Counseling, Pllc
Credential
Provider Entity Type
Organization
Address
7925 S Broadway Ave Ste 440, Tyler, TX, 75703-5297
Phone Number
903-705-6552
Fax Number
903-705-6532
Provider Enumeration Date
08/24/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7925 S Broadway Ave Ste 440
City
Tyler
State
Texas
Zip
75703-5297
Phone Number
903-705-6552
Fax Number
903-705-6532
person
Provider Business Mailing Address Details
Address
7925 S Broadway Ave Ste 440
City
Tyler
State
Texas
Zip
75703-5297
Phone Number
903-705-6552
Fax Number
903-705-6532
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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