Healthcare Provider Details
I. General information
NPI: 1578496675
Provider Name (Legal Business Name): THE INFORMED VOICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
75 OAK HILL DR
COVINGTON GA
30016-2552
US
IV. Provider business mailing address
75 OAK HILL DR
COVINGTON GA
30016-2552
US
V. Phone/Fax
- Phone: 678-825-7360
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BIANCA
GRANT
Title or Position: CCC-SLP
Credential: M.ED., CCC-SLP
Phone: 678-825-7360