Provider Demographics
NPI:1558906024
Name:THERAPY GOALS LLC
Entity Type:Organization
Organization Name:THERAPY GOALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / SPEECH PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:770-862-6447
Mailing Address - Street 1:3776 LAVISTA RD STE 250
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-5657
Mailing Address - Country:US
Mailing Address - Phone:770-862-6447
Mailing Address - Fax:833-232-1614
Practice Address - Street 1:3776 LAVISTA RD STE 250
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5657
Practice Address - Country:US
Practice Address - Phone:770-862-6447
Practice Address - Fax:833-232-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty