Healthcare Provider Details

I. General information

NPI: 1285005157
Provider Name (Legal Business Name): DMS THERAPY SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8768 QUARTERS LAKE RD STE 8
BATON ROUGE LA
70809-7308
US

IV. Provider business mailing address

3604 EPPERSON ST
BAKER LA
70714-3726
US

V. Phone/Fax

Practice location:
  • Phone: 225-284-5873
  • Fax:
Mailing address:
  • Phone: 225-284-5873
  • Fax: 225-410-9559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number109048
License Number StateTX

VIII. Authorized Official

Name: DR. DAWN M STANLEY
Title or Position: OWNER/SLP
Credential: CCC-SLP
Phone: 225-284-5873