Healthcare Provider Details

I. General information

NPI: 1558668996
Provider Name (Legal Business Name): SMALL WORLD THERAPY P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E ELM ST
GRAHAM NC
27253-3021
US

IV. Provider business mailing address

219 E ELM ST
GRAHAM NC
27253-3021
US

V. Phone/Fax

Practice location:
  • Phone: 919-240-5437
  • Fax: 919-883-5413
Mailing address:
  • Phone: 919-240-5437
  • Fax: 919-883-4513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8330
License Number StateNC

VIII. Authorized Official

Name: MIA CARAGANIS
Title or Position: CEO
Credential: CCC-SLP
Phone: 919-521-0729