Provider Demographics
NPI:1790782498
Name:FAMILY HEARING AND SPEECH CENTER OF WEST COBB, INC.
Entity Type:Organization
Organization Name:FAMILY HEARING AND SPEECH CENTER OF WEST COBB, INC.
Other - Org Name:HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:770-425-1095
Mailing Address - Street 1:260 WHISPERWOOD LN NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1665
Mailing Address - Country:US
Mailing Address - Phone:770-499-8782
Mailing Address - Fax:
Practice Address - Street 1:1690 POWDER SPRINGS RD SW
Practice Address - Street 2:SUITE 208
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4844
Practice Address - Country:US
Practice Address - Phone:770-425-1095
Practice Address - Fax:770-425-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4299Medicare ID - Type Unspecified