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LEGACY COUNSELING AND CONSULTING, LLC
NPI 1114483658
Community/Behavioral Health in Valdosta, GA

Active since February 19, 2019
3790 OLD US 41 N STE A, VALDOSTA, GA 31602(229) 262-1000 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2019, Feb 19, 2019 (2 updates tracked since 2019).

About Legacy Counseling And Consulting, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY COUNSELING AND CONSULTING, LLC (NPI 1114483658) is a healthcare organization registered as a community/behavioral health in Valdosta, Georgia and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Valdosta and lists Rachael Dudley, Owner, as its authorized official.

NPPES Registry Identity

NPI1114483658
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLEGACY COUNSELING AND CONSULTING, LLC
Location Address3790 OLD US 41 N STE AValdosta, GA 31602-6865
Mailing Address4986 Summit Ridge RdValdosta, GA 31602 · (229) 630-5982
Phone(229) 262-1000
Organization SubpartNo
Authorized OfficialRachael DudleyOwner · (229) 630-5982
Enumeration DateFebruary 19, 2019
Last NPPES UpdateJune 3, 20192 updates tracked since enumeration
✔ NPI 1114483658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3790 OLD US 41 N STE A, Valdosta, GA 31602
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Secondary Practice Location 1

Location 12109 N Patterson St Ste BValdosta, GA 31602-2577 · Phone (229) 232-4833

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN L BRADSHAW LCSW
Marriage & Family Therapist
3790 OLD US 41 N STE A
VALDOSTA, GA 31602
Lowndes County (229) 262-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Counseling And Consulting, LLC's NPI number?

The NPI number for Legacy Counseling And Consulting, LLC is 1114483658. It was assigned to this organization in the NPPES registry on February 19, 2019.

Where is Legacy Counseling And Consulting, LLC located?

Legacy Counseling And Consulting, LLC is located at 3790 Old Us 41 N Ste A, Valdosta, GA 31602. The listed phone number is (229) 262-1000.

What is Legacy Counseling And Consulting, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Legacy Counseling And Consulting, LLC was last updated on June 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.