Agape Speech Therapy, Llc

LBN: Agape Speech Therapy, Llc
Agape Speech Therapy, Llc is an health care organization with primary practice located at 101 Devant St Suite 703, Fayetteville GA 30214-2710. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Agape Speech Therapy, Llc can be contacted via phone (770) 776-6013, or through Radcliffe, Linda H via phone (770) 776-6013.

Contact Information

Primary practice address
101 Devant St Suite 703 Fayetteville GA 30214-2710
Phone: (770) 776-6013
Fax: (877) 469-5558
Website:
Map and Directions
Authorized official contact:
Name: Radcliffe, Linda H SLP
Phone: (770) 776-6013

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1073884482
LBN Legal business name Agape Speech Therapy, Llc
DBA Doing business as
Authorized official Radcliffe, Linda H SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2012
Last updated Jun 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073884482 NPPES
Georgia Other 202G155590 MEDICARE
Georgia MEDICAID 003125104B MEDICARE
Georgia Other 12362429 MEDICARE

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