NPI Code Detail JSON Logo

1154906238 NPI number — GEORGIA SPEECH THERAPY LLC

NPI Number: 1154906238
Health Care Provider/Practitioner: GEORGIA SPEECH THERAPY LLC

Information about “1154906238” NPI (GEORGIA SPEECH THERAPY LLC) exists in 1154906238 in HTML format HTML  |  1154906238 in plain Text format TXT  |  1154906238 in PDF (Portable Document Format) PDF  |  1154906238 in an XML format XML  formats.

NPI Number : 1154906238 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154906238",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GEORGIA SPEECH THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1545 BEECHCLIFF DR NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30329-3825",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-735-9982",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1545 BEECHCLIFF DR NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30329-3825",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-735-9982",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/10/2021",
    "LastUpdateDate": "03/10/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WARGA",
    "AuthorizedOfficialFirstName": "TAMAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS, CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "404-735-9982",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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