Whalio Doctors

NPI 1962746842

Legacy Life Care Programs

Organisation Community/Behavioral Health Agency Columbia, TN

Practice location

Address
1324 Trotwood Ave STE 11, Columbia, TN 38401-4750
Phone
(931) 626-1644
Fax
(931) 381-5363
Mailing address
100 N. Bigby Dr., Columbia, TN 38401-4704

Authorised official

Name
Linda R Smith
Title
Ceo/President
Phone
(931) 215-2182

Registered specialties (5)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1000000011378 (TN)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1000000018345 (TN)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1000000011378 (TN)
Voluntary or Charitable Agency
Agencies Taxonomy 251V00000X Licence 1000000018345 (TN)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X

Registry record

NPI
1962746842
Entity type
Organization
NPI issued
16 Nov 2012
Record last updated
2 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.