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General NPI Number Information
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NPI Number | 1558878454
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Entity Type | Organization
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Legal Business Name | OMNI THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1053A SPARKLEBERRY LANE EXT
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City | COLUMBIA
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State | SC
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Zip | 29223-7066
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Country | US
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Telephone | 803-567-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 1053A SPARKLEBERRY LANE EXT
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City | COLUMBIA
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State | SC
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Zip | 29223-7066
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Country | US
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Telephone | 803-567-3348
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Fax |
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Authorized Official
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Title or Position | SLP, CO-OWNER
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Name | DR. EBONY MEANS
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Credential | CLINSCD, CCC-SLP
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Telephone | 803-567-3348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4882
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License Number State | SC
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