Stacey Ailes

Individual provider Active NPI Speech-Language Pathologist · Chapin, SC

NPI 1154044550 · NPPES record last updated Apr 14, 2025

Key facts

NPI
1154044550
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
120 Baltic CT
Chapin, SC 29036-7325
Phone
(803) 260-8489
Fax
(864) 572-4080
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Big Therapy Solutions, LLC Speech-Language Pathologist Current
since Mar 30, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

120 Baltic CT
Chapin, SC 29036-7325

Mailing address

120 Baltic CT
Chapin, SC 29036-7325
Phone (803) 260-8489

Other providers in Chapin, SC

All providers in Chapin, SC · Speech-Language Pathologist in South Carolina

Sources for this page

Verify at the official NPI Registry.