Provider Demographics
NPI:1649153834
Name:LEGATES, DALLAS CRAIG (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:DALLAS
Middle Name:CRAIG
Last Name:LEGATES
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SQUIRREL LN
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29437-3844
Mailing Address - Country:US
Mailing Address - Phone:843-200-8334
Mailing Address - Fax:
Practice Address - Street 1:29C LEINBACH DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6989
Practice Address - Country:US
Practice Address - Phone:843-792-1461
Practice Address - Fax:843-792-2254
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC.11216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional