Provider Demographics
NPI:1124148150
Name:LEGACY FAMILY COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:LEGACY FAMILY COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:972-665-9758
Mailing Address - Street 1:1400 PRESTON RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5186
Mailing Address - Country:US
Mailing Address - Phone:972-665-9758
Mailing Address - Fax:214-291-5443
Practice Address - Street 1:1400 PRESTON RD
Practice Address - Street 2:STE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5186
Practice Address - Country:US
Practice Address - Phone:972-665-9758
Practice Address - Fax:214-291-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty