MEDICARE: TENATIA I HARGROVE M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP010362	GA

General Provider Information

NPI Number	:	1437625324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TENATIA I HARGROVE M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1414 FIELDGREEN OVERLOOK
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-3109
Country	:	US
Telephone Number	:	404-713-9127
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 FIELDGREEN OVERLOOK
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-3109
Country	:	US
Telephone Number	:	404-713-9127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	10/17/2018

Similar Medicare Providers

1114877420 — GM ACCIDENT AND INJURY URGENT CARE
Practice Location Address:

5050 MEMORIAL DR
STONE MOUNTAIN, GA
30083-3109

Practice Phone: 678-525-2600
Practice Fax:

1578029310 — DR. ANTHONY WESTON DC
Practice Location Address:

5050 MEMORIAL DR
STONE MOUNTAIN, GA
30083-3109

Practice Phone: 404-748-4993
Practice Fax:

1316772205 — DR. RUSSELL POMPEY JR. DC
Practice Location Address:

5050 MEMORIAL DR
STONE MOUNTAIN, GA
30083-3109

Practice Phone: 678-803-0236
Practice Fax:

1699045104 — MRS. TERA JACKSON
Practice Location Address:

3109 STONE HILL TRL
EDMOND, OK
73034-6180

Practice Phone: 405-812-4692
Practice Fax:

1740329143 — CREATING OPTIONS LLC
Practice Location Address:

2390 AMERICAN LEGION BLVD , SUITE 2
MOUNTAIN HOME, ID
83647-3109

Practice Phone: 208-587-8095
Practice Fax: 208-587-8025

1790806172 — CREATINGOPTIONSLLC
Practice Location Address:

2390 AMERICAN LEGION BLVD , SUITE 2
MOUNTAIN HOME, ID
83647-3109

Practice Phone: 208-587-8095
Practice Fax: 208-587-8025

Directions to “ TENATIA I HARGROVE M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.