Provider Demographics
NPI:1104842111
Name:THERAPY SOLUTIONS OF NEA, INC.
Entity Type:Organization
Organization Name:THERAPY SOLUTIONS OF NEA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMETT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:870-931-0808
Mailing Address - Street 1:2208 FOWLER AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6115
Mailing Address - Country:US
Mailing Address - Phone:870-931-0808
Mailing Address - Fax:870-972-0929
Practice Address - Street 1:2208 FOWLER AVE
Practice Address - Street 2:SUITE C
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6115
Practice Address - Country:US
Practice Address - Phone:870-931-0808
Practice Address - Fax:870-972-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F208OtherBCBS PROVIDER NUMBER