LEGACY COUNSELING CENTER INC
NPI 1770510075
Social Worker - Clinical in Dallas, TX

Q: What is Legacy Counseling Center Inc's NPI number?

The NPI number for Legacy Counseling Center Inc is 1770510075. It was assigned to this organization in the NPPES registry on June 26, 2006.

Q: What is Legacy Counseling Center Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 26, 2006

4054 MCKINNEY AVE STE 102, DALLAS, TX 75204(214) 520-6308 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Counseling Center Inc NPPES

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

LEGACY COUNSELING CENTER INC (NPI 1770510075) is a healthcare organization registered as a clinical in Dallas, Texas and active in the NPI registry since June 2006. The organization lists Melissa Grove, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770510075

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameLEGACY COUNSELING CENTER INC

Location Address4054 MCKINNEY AVE STE 102Dallas, TX 75204-2050

Mailing Address4054 Mckinney Ave Ste 102Dallas, TX 75204-2050 · (214) 520-6308

Phone(214) 520-6308

Organization SubpartNo

Authorized OfficialMelissa GroveExecutive Director · (214) 520-6308

Enumeration DateJune 26, 2006

Last NPPES UpdateMay 31, 2017

✔ NPI 1770510075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · S18803

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4054 MCKINNEY AVE STE 102, Dallas, TX 75204

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Other Identifiers 3

Other55GTBcbs

Medicare ID-Type Unspecified00049STX

Medicaid079683102TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 13

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

DR. J MICHAEL CRUZ LPC-INTERN

Counselor (Mental Health)