MEDICARE: OPA'S LEARNING ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1508722471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPA'S LEARNING ACADEMY

Provider Business Mailing Address
First Line	:	1433 GREGG ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3527
Country	:	US
Telephone Number	:	803-312-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1433 GREGG ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3527
Country	:	US
Telephone Number	:	803-312-1200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VIRGINIA WELLS
Credential	:
Telephone Number	:	803-312-1200

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “OPA'S LEARNING ACADEMY ” Practice Location

Language	Start Address	Practice Location

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