Provider Demographics
NPI:1437541836
Name:BRIGHTER VOICES SPEECH AND LANGUAGE
Entity Type:Organization
Organization Name:BRIGHTER VOICES SPEECH AND LANGUAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TUSHANNA
Authorized Official - Middle Name:PURDIE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-827-0875
Mailing Address - Street 1:113 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-6717
Mailing Address - Country:US
Mailing Address - Phone:770-827-0875
Mailing Address - Fax:678-489-7263
Practice Address - Street 1:113 DERBY DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-6717
Practice Address - Country:US
Practice Address - Phone:770-827-0875
Practice Address - Fax:678-489-7263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10603235Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty