Provider Demographics
NPI:1558890095
Name:LEGGTALK, INC
Entity Type:Organization
Organization Name:LEGGTALK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, CCBT
Authorized Official - Phone:202-299-0096
Mailing Address - Street 1:3031 HAWTHORNE DR NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1002
Mailing Address - Country:US
Mailing Address - Phone:1202-299-0096
Mailing Address - Fax:
Practice Address - Street 1:3031 HAWTHORNE DR NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1002
Practice Address - Country:US
Practice Address - Phone:202-299-0096
Practice Address - Fax:202-299-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty