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NPI Code Detail

MEDICARE: RIBBON OF GROWTH THERAPY LLC

MEDICARE: RIBBON OF GROWTH THERAPY LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1538055371
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIBBON OF GROWTH THERAPY LLC
Provider Business Mailing Address
First Line : 214 NELLIE FAYE LN
Second Line :
City : MERIDIANVILLE
State : AL
Zip : 35759-2810
Country : US
Telephone Number : 256-519-1708
Fax Number :
Provider Business Practice Location Address
First Line : 3322 MEMORIAL PKWY SW STE 624F
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-5348
Country : US
Telephone Number : 256-519-1708
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAKEASHA SHANELL FORD
Credential :
Telephone Number : 256-519-1708
Provider Enumeration Date : 06/17/2025
Last Update Date : 12/15/2025

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Directions to “RIBBON OF GROWTH THERAPY LLC ” Practice Location

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