Provider Demographics
NPI:1003013400
Name:ALLIED THERAPIES, INC.
Entity Type:Organization
Organization Name:ALLIED THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC,SLP
Authorized Official - Phone:828-264-3746
Mailing Address - Street 1:PO BOX 2005
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-2005
Mailing Address - Country:US
Mailing Address - Phone:828-264-3746
Mailing Address - Fax:828-264-3746
Practice Address - Street 1:860 SORRENTO DR
Practice Address - Street 2:
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605-9447
Practice Address - Country:US
Practice Address - Phone:828-264-3746
Practice Address - Fax:828-264-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1566235Z00000X
NC3326235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211999Medicaid
NC7423341Medicaid
NC7423249Medicaid