Speechworks Therapy Services

LBN: Jaesan Pc
Speechworks Therapy Services is an health care organization with primary practice located at 3116 Milton Rd Ste F , Charlotte NC 28215-5079. 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. Jaesan Pc can be contacted via phone (980) 237-6226, or through Jerrell, Kai Ane via phone (980) 237-6226.

Contact Information

Primary practice address
3116 Milton Rd Ste F Charlotte NC 28215-5079
Phone: (980) 237-6226
Fax: (980) 237-6288
Website:
Map and Directions
Authorized official contact:
Name: Jerrell, Kai Ane M.A., CCC-SLP
Phone: (980) 237-6226

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5842 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6278 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1003940933
LBN Legal business name Jaesan Pc
DBA Doing business as Speechworks Therapy Services
Authorized official Jerrell, Kai Ane M.A., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 27th, 2021 - about 4 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 1003940933 NPPES
North Carolina MEDICAID 7411868
North Carolina MEDICAID 7212056

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