Healthcare Provider Details

I. General information

NPI: 1376467084
Provider Name (Legal Business Name): KINGSPEAK TOOLKIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 PLANTATION CREEK RD
FORTSON GA
31808-3850
US

IV. Provider business mailing address

454 PLANTATION CREEK RD
FORTSON GA
31808-3850
US

V. Phone/Fax

Practice location:
  • Phone: 706-940-2330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH KING
Title or Position: OWNER
Credential: M.ED., CCC-SLP
Phone: 706-940-2330