Provider Demographics
NPI:1215788641
Name:LEGARREA, MOLLY RUTH (LPC-MHSP (TEMP))
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:RUTH
Last Name:LEGARREA
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 BRANFORD PL STE 301
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-1010
Mailing Address - Country:US
Mailing Address - Phone:615-266-4309
Mailing Address - Fax:
Practice Address - Street 1:2100 BRANFORD PL STE 301
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-1010
Practice Address - Country:US
Practice Address - Phone:615-570-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health