Provider Demographics
NPI:1982025979
Name:LM SPEECH
Entity Type:Organization
Organization Name:LM SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:CCC
Authorized Official - Phone:678-358-7237
Mailing Address - Street 1:2547 RIDGEWOOD TER NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1320
Mailing Address - Country:US
Mailing Address - Phone:678-358-7237
Mailing Address - Fax:404-464-0776
Practice Address - Street 1:2547 RIDGEWOOD TER NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-1320
Practice Address - Country:US
Practice Address - Phone:678-358-7237
Practice Address - Fax:404-464-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty