Legacy Therapy Source

LBN: Legacy Therapy Source
Legacy Therapy Source is an health care organization with primary practice located at 115 Cherry Hill Ln , Stockbridge GA 30281-7360. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Legacy Therapy Source can be contacted via phone (917) 848-1863, or through Gomez, Catherine via phone (917) 848-1863.

Contact Information

Primary practice address
115 Cherry Hill Ln Stockbridge GA 30281-7360
Phone: (917) 848-1863
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Catherine CCC-SLP
Phone: (917) 848-1863

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1871105577
LBN Legal business name Legacy Therapy Source
DBA Doing business as
Authorized official Gomez, Catherine CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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