MEDICARE: MRS. TALISHE BEAUFORD 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	007493	GA

General Provider Information

NPI Number	:	1942448949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TALISHE BEAUFORD M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	5282 HICKORY WALK TER SW
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-4757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 DANNON VW SW STE 3203
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2161
Country	:	US
Telephone Number	:	678-948-6632
Fax Number	:	888-972-3946

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

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	01/08/2025

Similar Medicare Providers

1780827576 — NEW BEGINNINGS TODAY,LLC
Practice Location Address:

920 DANNON VW SW STE 3202
ATLANTA, GA
30331-2161

Practice Phone: 404-346-3471
Practice Fax: 404-346-3473

1437392081 — MS. OLISA YAA AJINAKU LPC
Practice Location Address:

920 DANNON VW SW STE 3202
ATLANTA, GA
30331-2161

Practice Phone: 404-346-3471
Practice Fax: 404-346-3473

1295978716 — NEW BEGINNINGS TODAY,LLC
Practice Location Address:

920 DANNON VW SW STE 3202
ATLANTA, GA
30331-2161

Practice Phone: 404-346-3471
Practice Fax:

1093959124 — KIMBERLY REGINA HILL LPC
Practice Location Address:

920 DANNON VW SW STE 3204
ATLANTA, GA
30331-2161

Practice Phone: 404-914-2788
Practice Fax: 404-393-9780

1588991517 — JANICE C WITHROW LPC
Practice Location Address:

920 DANNON VW SW STE 3202
ATLANTA, GA
30331-2161

Practice Phone: 404-346-3471
Practice Fax: 404-346-3473

1316385446 — PLM METTA HEALING OASIS, LLC
Practice Location Address:

920 DANNON VW SW STE 3203
ATLANTA, GA
30331-2161

Practice Phone: 404-590-8156
Practice Fax: 206-350-3122

Directions to “ MRS. TALISHE BEAUFORD 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.