Larry T Legg Ii Lcsw Llc

NPI 1265619746 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1265619746
Enumeration Date 01/27/2008
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LARRY THEODORE LARRY
Position MANAGING MEMBER
Phone (813) 965-2800
Fax (813) 933-4265
Practice Location
8019 N HIMES AVE
SUITE 311
TAMPA FL, 33614-2712, US
Phone (813) 965-2800
Fax (813) 933-4265
Business Location
1820 LATELIA CT
TRINITY FL, 34655-4907, US
Phone (813) 965-2800
Fax (813) 933-4265
Toxanomy
Taxonomy Code 251S00000X
License State Florida
License Number SW 5685
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According to our database, Larry T Legg Ii Lcsw Llc NPI is 1265619746, taxonomy code is 251S00000X and license number is SW 5685, license state is located at Florida. Larry T Legg Ii Lcsw Llc physically located at 8019 N Himes Ave, Tampa FL, 33614-2712. NPI Number 1033115704 has the healthcare provider type.

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1265619746 NPI number is provided on an as is basis without warranty of any kind. 1265619746 is maintained by the National Plan & Provider Enumeration System. The contents of Larry T Legg Ii Lcsw Llc are for informational purposes only.