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General NPI Number Information
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NPI Number | 1447858758
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Entity Type | Organization
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Legal Business Name | BRAINZ THERAPY INC.
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 6450 SPALDING DR STE A
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-4650
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Country | US
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Telephone | 770-449-9334
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 PEACHTREE RD NE STE 520
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City | ATLANTA
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State | GA
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Zip | 30326-3292
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Country | US
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Telephone | 770-923-6400
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | LISA HOWELL
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Credential |
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Telephone | 770-923-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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