Provider Demographics
NPI:1154509065
Name:JUST FOR KIDS THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:JUST FOR KIDS THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:404-831-7451
Mailing Address - Street 1:240 RIVER COVE RD
Mailing Address - Street 2:
Mailing Address - City:SOCIAL CIRCLE
Mailing Address - State:GA
Mailing Address - Zip Code:30025-4803
Mailing Address - Country:US
Mailing Address - Phone:404-831-7451
Mailing Address - Fax:
Practice Address - Street 1:240 RIVER COVE RD
Practice Address - Street 2:
Practice Address - City:SOCIAL CIRCLE
Practice Address - State:GA
Practice Address - Zip Code:30025-4803
Practice Address - Country:US
Practice Address - Phone:404-831-7451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
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
GA00941729AMedicaid