Healthcare Provider Details

I. General information

NPI: 1407818511
Provider Name (Legal Business Name): NOW WERE TALKING PEDIATRIC THERAPY,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 COMMERCE PKWY SUITE 111
GARNER NC
27529-7966
US

IV. Provider business mailing address

130 COMMERCE PKWY SUITE 111
GARNER NC
27529-7966
US

V. Phone/Fax

Practice location:
  • Phone: 919-359-1323
  • Fax: 919-827-8754
Mailing address:
  • Phone: 919-359-1323
  • Fax: 919-827-8754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5655
License Number StateNC

VIII. Authorized Official

Name: MRS. MICHELLE ANN HELMES
Title or Position: SPEECH AND LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 919-359-1323