Gift of Gab Speech Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GIFT OF GAB SPEECH THERAPY SERVICES

Practice address

4811 Village SQ NW
Acworth, GA 30102-3464

Phone

(404) 665-7804

NPI assigned

Jul 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Yelena Zoya Carlisle, CCC-SLPNPI 1679659650

Title

Speech-Language Pathologist/Owner

Phone

(404) 665-7804

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yelena Zoya Carlisle, M.S. CCC-SLP, CLC

  • Speech-Language Pathologist
  • Acworth, GA
  • NPI 1679659650
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1023743796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 VILLAGE SQ NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023464",
            "telephone_number": "404-665-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 VILLAGE SQ NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023464",
            "telephone_number": "404-665-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF GAB SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "YELENA",
        "authorized_official_middle_name": "ZOYA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "404-665-7804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "giftofgabspeech@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business address",
            "address_1": "4811 Village Sq NW",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301023464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Samuel A. Gilbert, M.D.
• Melanie Blackwood Gilley
• Jonathan R Gillis, DPT
• Dale Carl Gillman
• Kerrie Ellen Glass

• Speech-Language Pathologist in Acworth, GA
• Providers in Acworth, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.