Agape Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AGAPE SPEECH THERAPY, LLC

Practice address

101 Devant St
Suite 703
Fayetteville, GA 30214-2710

Phone

(770) 776-6013

Fax

(877) 469-5558

NPI assigned

Jan 17, 2012

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda H Radcliffe, SLPNPI 1033405659

Title

Director

Phone

(770) 776-6013

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Linda H Radcliffe, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, GA
  • NPI 1033405659
  Authorized official Same address or phone

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1073884482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 703",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-776-6013",
            "fax_number": "877-469-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 703",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-776-6013",
            "fax_number": "877-469-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-776-6013",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12362429",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125104B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202G155590",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Aesthetics PC
• Advanced Aesthetics, P.C
• Advanced Physical Therapy of Fayette
• Advanced Physical Therapy of Fayette, LLC
• Affinity Healthcare LLC (Ajoy Healthcare)
• Agape Sports Performance Wellness and Rehab
• Amita Agarwal, OTR,CHT
• Sandra I Agazie
• Fatimat Olumayowa Olufunmilayo Agbojeyin
• Chanda Agee, LPN

• Speech-Language Pathologist in Fayetteville, GA
• Providers in Fayetteville, 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 Jun 4, 2014; 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.