Peach Speech Services, Llc

LBN: Peach Speech Services, Llc
Peach Speech Services, Llc is an health care organization with primary practice located at 5190 Island Dr , Stone Mountain GA 30087-4248. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Peach Speech Services, Llc can be contacted via phone (404) 643-6098, or through Robinson, Myriam Katrina via phone (404) 643-6098.

Contact Information

Primary practice address
5190 Island Dr Stone Mountain GA 30087-4248
Phone: (404) 643-6098
Fax: (877) 245-3717
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Myriam Katrina M.ED., CCC-SLP
Phone: (404) 643-6098

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005420 Georgia

Profile Details

NPI number 1194070599
LBN Legal business name Peach Speech Services, Llc
DBA Doing business as
Authorized official Robinson, Myriam Katrina M.ED., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2012
Last updated Jul 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194070599 NPPES
Georgia MEDICAID 003122698A

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