Provider Demographics
NPI:1801319462
Name:BE BLESSED THERAPY PLLC
Entity type:Organization
Organization Name:BE BLESSED THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SPEECH PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-CROSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-965-6518
Mailing Address - Street 1:4410 WOLF RUN DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4410 WOLF RUN DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8095
Practice Address - Country:US
Practice Address - Phone:336-965-6518
Practice Address - Fax:866-279-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty