Provider Demographics
NPI:1629733373
Name:CRIMSON THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CRIMSON THERAPY SERVICES LLC
Other - Org Name:CRIMSON THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ISIS
Authorized Official - Middle Name:FRANCHESCA
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:706-250-2281
Mailing Address - Street 1:1601 HIGHWAY 34 E STE A
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-1325
Mailing Address - Country:US
Mailing Address - Phone:706-250-2281
Mailing Address - Fax:678-877-8066
Practice Address - Street 1:1601 HIGHWAY 34 E STE A
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-1325
Practice Address - Country:US
Practice Address - Phone:706-250-2281
Practice Address - Fax:678-877-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-07
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty