Provider Demographics
NPI:1669170775
Name:PROGRESS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:PROGRESS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHABA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:205-719-1936
Mailing Address - Street 1:3985 PARKWOOD RD STE 109-125
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5690
Mailing Address - Country:US
Mailing Address - Phone:205-719-1936
Mailing Address - Fax:828-739-3363
Practice Address - Street 1:3985 PARKWOOD RD STE 109-125
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5690
Practice Address - Country:US
Practice Address - Phone:205-719-1936
Practice Address - Fax:828-739-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty