Provider Demographics
NPI:1457673436
Name:EELIO
Entity Type:Organization
Organization Name:EELIO
Other - Org Name:TEGA CAY SPEAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAKATOS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC/SLP
Authorized Official - Phone:803-802-5508
Mailing Address - Street 1:2166 GOLD HILL ROAD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-9351
Mailing Address - Country:US
Mailing Address - Phone:803-802-5508
Mailing Address - Fax:
Practice Address - Street 1:2166 GOLD HILL RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-9351
Practice Address - Country:US
Practice Address - Phone:803-802-5508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty