Provider Demographics
NPI:1245468297
Name:AAC THERAPY SOLUTIONS, LLC
Entity type:Organization
Organization Name:AAC THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST; PRES.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NUTT
Authorized Official - Suffix:
Authorized Official - Credentials:EDS; CCC-SLP
Authorized Official - Phone:404-406-9330
Mailing Address - Street 1:9155 FOUR MILE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3995
Mailing Address - Country:US
Mailing Address - Phone:404-406-9330
Mailing Address - Fax:888-801-8016
Practice Address - Street 1:634 PEACHTREE PKWY # 275
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9782
Practice Address - Country:US
Practice Address - Phone:404-406-9330
Practice Address - Fax:888-801-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000876251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000672966CMedicaid
GA000672966EMedicaid