Speech Spa, Llc.

LBN: Speech Spa, Llc.
Speech Spa, Llc. is an health care organization with primary practice located at 2260 Northlake Pkwy Suite 210, Tucker GA 30084-4036. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Speech Spa, Llc. can be contacted via phone (678) 825-5750, or through Colemanperryman, Amy Jo via phone (678) 825-5750.

Contact Information

Primary practice address
2260 Northlake Pkwy Suite 210 Tucker GA 30084-4036
Phone: (678) 825-5750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colemanperryman, Amy Jo SLP
Phone: (678) 825-5750

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X SLP008019 Georgia

Profile Details

NPI number 1306241450
LBN Legal business name Speech Spa, Llc.
DBA Doing business as
Authorized official Colemanperryman, Amy Jo SLP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2014
Last updated Oct 31st, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306241450 NPPES
Georgia MEDICAID 003131271C

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