Provider Demographics
NPI:1598024994
Name:SPEECH THERAPY & MORE, LLC
Entity Type:Organization
Organization Name:SPEECH THERAPY & MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, SPEECH-LANG PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:CAMP
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:706-561-1882
Mailing Address - Street 1:5900 WARM SPRINGS RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4362
Mailing Address - Country:US
Mailing Address - Phone:706-561-1882
Mailing Address - Fax:706-561-1838
Practice Address - Street 1:5900 WARM SPRINGS RD
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4362
Practice Address - Country:US
Practice Address - Phone:706-561-1882
Practice Address - Fax:706-561-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP003681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty