Organization Active NPI

Harrelson Speech and Language Therapy Services, LLC

  • Speech-Language Pathologist
  • McRae Helena, GA
National Provider Identifier
1093063794
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HARRELSON SPEECH AND LANGUAGE THERAPY SERVICES, LLC
Practice address
12 E Oak St
MC Rae Helena, GA 31055-4337
Phone
(229) 315-1108
Fax
(229) 234-4286
NPI assigned
Aug 28, 2012
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Mrs. Hollie Padgett Harrelson, MED CCC SLPNPI 1518020981
Title
Speech Language Pathologist
Phone
(229) 315-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

12 E Oak St
MC Rae Helena, GA 31055-4337

Mailing address

5 Muscadine Dr
Helena, GA 31037-4039
Phone (229) 315-1108

National Provider Directory

National Provider Directory

Locations

12 E Oak St
Mc Rae Helena, GA 31055
Phone (229) 315-1108

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1093063794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MUSCADINE DR",
            "city": "HELENA",
            "state": "GA",
            "postal_code": "310374039",
            "telephone_number": "229-315-1108",
            "fax_number": "229-234-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E OAK ST",
            "city": "MC RAE HELENA",
            "state": "GA",
            "postal_code": "310554337",
            "telephone_number": "229-315-1108",
            "fax_number": "229-234-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELSON SPEECH AND LANGUAGE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "PADGETT",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "229-315-1108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McRae Helena, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.