Scintilla Charter Academy

LBN: Scintilla Charter Academy
Scintilla Charter Academy is an health care organization with primary practice located at 2171 E Park Ave , Valdosta GA 31602-4436. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Scintilla Charter Academy can be contacted via phone (229) 244-5750, or through Herndon, Stephanie via phone (229) 244-5750.

Contact Information

Primary practice address
2171 E Park Ave Valdosta GA 31602-4436
Phone: (229) 244-5750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herndon, Stephanie
Phone: (229) 244-5750

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9005 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6136 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1930 Georgia

Profile Details

NPI number 1740658558
LBN Legal business name Scintilla Charter Academy
DBA Doing business as
Authorized official Herndon, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 10 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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