Camellia Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CAMELLIA THERAPY SERVICES, LLC

Practice address

6016 Pepper Tree Dr
Alexandria, LA 71303-2196

Phone

(318) 794-6947

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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. Stacey K Elmer, MS, CCC-SLPNPI 1790339745

Title

Owner

Phone

(318) 794-6947

Specialties & licenses 1

Addresses

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.

• Stacey Elmer, MS CCC-SLP

  • Speech-Language Pathologist
  • Alexandria, LA
  • NPI 1790339745
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1083230122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 PEPPER TREE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032196",
            "telephone_number": "318-794-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 PEPPER TREE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032196",
            "telephone_number": "318-794-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-794-6947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Moore Butler Jr., DPM
• By Grace Home Care Services, LLC
• Sharnice Byrd, MSW, CSW
• Shicalvin Byrd
• Christopher L Caffery
• Elizabeth Ann Cammack
• Jeremy Levi Campbell, DPT
• Robert Campbell, MD
• John Joseph Campo Jr., D.D.S.
• Heidi Michele Candler, LCSW

• Speech-Language Pathologist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.