Healthcare Provider Details
I. General information
NPI: 1780127548
Provider Name (Legal Business Name): INVITATION THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2016
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 LOGAN ST STE M
MARION NC
28752-2857
US
IV. Provider business mailing address
29 LOGAN ST STE M
MARION NC
28752-2857
US
V. Phone/Fax
- Phone: 828-559-2164
- Fax: 828-559-2165
- Phone: 828-559-2164
- Fax: 828-559-2165
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | 10809 |
| License Number State | NC |
VIII. Authorized Official
Name:
ASHLEY
BROOK
SWANN
Title or Position: OWNER
Credential: SLP, MS,CCC
Phone: 828-559-2164