Organization Active NPI

Speak Easy Teletherapy, LLC

  • Professional Counselor
  • Deatsville, AL
National Provider Identifier
1134875750
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPEAK EASY TELETHERAPY, LLC
Practice address
691 Shoal Creek Dr
Deatsville, AL 36022-3486
Phone
(706) 315-7478
Fax
(334) 625-1532
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Kristy Savage
Title
Practice Manager
Phone
(706) 315-7478

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

691 Shoal Creek Dr
Deatsville, AL 36022-3486

Mailing address

691 Shoal Creek Dr
Deatsville, AL 36022-3486
Phone (706) 315-7478

Other names 1

  • Speak Easy Teletherapy, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1134875750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 SHOAL CREEK DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360223486",
            "telephone_number": "706-315-7478",
            "fax_number": "334-625-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 SHOAL CREEK DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360223486",
            "telephone_number": "706-315-7478",
            "fax_number": "334-625-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EASY TELETHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-315-7478"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speak Easy Teletherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deatsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.