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RWI75204 Legacy Counseling Center Inc. (Terminated)
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Main Details
Name
Legacy Counseling Center Inc.
Subdivision Name
Dallas
Type
Ryan White Part A
340B ID
RWI75204
Grant Number
H89HA00014
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/26/2018
Last Recertification Date
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2019
Failure to recertify
Contacts
Authorizing Official
Legacy Counseling Center
Melissa Grove, Executive Director
(214) 207-3953
Primary Contact
Legacy Counseling Center Inc.
Bob Roton, Dir. of Counseling Services
(214) 520-6308
Addresses
Street Address
4054 McKinney Ave. Suite 102
Dallas, TX 75204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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