Provider Demographics
NPI:1043388937
Name:HARALSON COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:HARALSON COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-646-3882
Mailing Address - Street 1:10 VAN WERT ST
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:GA
Mailing Address - Zip Code:30113-4879
Mailing Address - Country:US
Mailing Address - Phone:770-646-3882
Mailing Address - Fax:770-646-8628
Practice Address - Street 1:10 VAN WERT ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:GA
Practice Address - Zip Code:30113-4879
Practice Address - Country:US
Practice Address - Phone:770-646-3882
Practice Address - Fax:770-646-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-02-19
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2010-02-19
Provider Licenses
StateLicense IDTaxonomies
GA235Z00000N235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty