Provider Demographics
NPI:1952536633
Name:COMMUNICARE THERAPY SERVICES INC
Entity type:Organization
Organization Name:COMMUNICARE THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:678-852-0282
Mailing Address - Street 1:817 HARTSTONE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4608
Mailing Address - Country:US
Mailing Address - Phone:678-852-0282
Mailing Address - Fax:770-774-2957
Practice Address - Street 1:817 HARTSTONE CT
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4608
Practice Address - Country:US
Practice Address - Phone:678-852-0282
Practice Address - Fax:770-774-2957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-25
Last Update Date:2009-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty