Clesiaspeech

LBN: Clesiaventures
Clesiaspeech is an health care organization with primary practice located at 7454 Hannover Pkwy S Ste 235 , Stockbridge GA 30281-6866. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Clesiaventures can be contacted via phone (470) 491-7707, or through Duncan, Mary Louise via phone (404) 805-2875.

Contact Information

Primary practice address
7454 Hannover Pkwy S Ste 235 Stockbridge GA 30281-6866
Phone: (470) 491-7707
Fax: (404) 738-2128
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Mary Louise M.A. CCC-SLP
Phone: (404) 805-2875

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X SLP006225 Georgia

Profile Details

NPI number 1952614844
LBN Legal business name Clesiaventures
DBA Doing business as Clesiaspeech
Authorized official Duncan, Mary Louise M.A. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2010
Last updated Sep 20th, 2021 - about 3 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 1952614844 NPPES
Georgia MEDICAID 410111878A

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