Provider Demographics
NPI:1821386772
Name:ABLES THERAPY COMPANY, INC
Entity Type:Organization
Organization Name:ABLES THERAPY COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:479-264-1329
Mailing Address - Street 1:2700 BATEMAN RD
Mailing Address - Street 2:
Mailing Address - City:OKOLONA
Mailing Address - State:AR
Mailing Address - Zip Code:71962-9711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2700 BATEMAN RD
Practice Address - Street 2:
Practice Address - City:OKOLONA
Practice Address - State:AR
Practice Address - Zip Code:71962-9711
Practice Address - Country:US
Practice Address - Phone:479-264-1329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR186151742Medicaid