Provider Demographics
NPI:1356021356
Name:PEDIATRIC FOUNDATIONS THERAPY LLC
Entity type:Organization
Organization Name:PEDIATRIC FOUNDATIONS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER & SLP
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:334-791-5989
Mailing Address - Street 1:1224 DUNHAM LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1224 DUNHAM LN
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3658
Practice Address - Country:US
Practice Address - Phone:205-225-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty