Provider Demographics
NPI:1225460819
Name:LEGGS, TAJSHEENA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TAJSHEENA
Middle Name:
Last Name:LEGGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 COURT AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2361
Mailing Address - Country:US
Mailing Address - Phone:901-300-9876
Mailing Address - Fax:
Practice Address - Street 1:254 COURT AVE STE 310
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2361
Practice Address - Country:US
Practice Address - Phone:901-300-9876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170037831041C0700X
TN72281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNLSW0000007228OtherLCSW