Provider Demographics
NPI:1831791136
Name:HIGH LEVEL SPEECH & HEARING CENTER OF ATLANTA LLC
Entity type:Organization
Organization Name:HIGH LEVEL SPEECH & HEARING CENTER OF ATLANTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:504-308-0688
Mailing Address - Street 1:3372 PEACHTREE RD NE STE 115
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1881
Mailing Address - Country:US
Mailing Address - Phone:504-308-0688
Mailing Address - Fax:504-702-8441
Practice Address - Street 1:3372 PEACHTREE RD NE STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1881
Practice Address - Country:US
Practice Address - Phone:504-308-0688
Practice Address - Fax:504-702-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech