Provider Demographics
NPI:1790981215
Name:KOMMUNIKATE PLUS INC
Entity Type:Organization
Organization Name:KOMMUNIKATE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:919-658-6053
Mailing Address - Street 1:429 HWY 55 EAST
Mailing Address - Street 2:429 HWY 55 EAST
Mailing Address - City:MT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365-1011
Mailing Address - Country:US
Mailing Address - Phone:919-658-6053
Mailing Address - Fax:919-658-6053
Practice Address - Street 1:429 HWY 55 EAST
Practice Address - Street 2:
Practice Address - City:MT OLIVE
Practice Address - State:NC
Practice Address - Zip Code:28365-1011
Practice Address - Country:US
Practice Address - Phone:919-658-6053
Practice Address - Fax:919-658-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3734235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301353Medicaid
NC8301353KMedicaid