MEDICARE: VOICE THERAPEUTIC SOLUTIONS PLLC

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	101Y00000X	Counselor
2	251S00000X	Community/Behavioral Health Agency	7110	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861705162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOICE THERAPEUTIC SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	1073 BULLARD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6867
Country	:	US
Telephone Number	:	888-557-4080
Fax Number	:	919-249-2150

Provider Business Practice Location Address
First Line	:	1073 BULLARD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6867
Country	:	US
Telephone Number	:	919-452-1577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. OLUWAKEMI IYABO AMOLA
Credential	:	PHD, LCMHC
Telephone Number	:	888-557-4080

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	10/07/2021

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