| NPI | 1780576223 |
|---|---|
| Former Legal Business Name | LEGACY THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAM DIPASTENA Licensed Marriage/Family Therapist 423-544-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-23 |