Blossom Speech Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

BLOSSOM SPEECH THERAPY LLC

Practice address

3988 Carver Cir
Doraville, GA 30360-2506

Phone

(225) 354-6349

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Whitney Honore, MS CCC-SLPNPI 1073020103

Title

Speech Language Pathologist

Phone

(225) 354-6349

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.

• Whitney D'Shay Honore, BA

  • Behavior Technician
  • Baton Rouge, LA
  • NPI 1073020103
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1174224463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 CARVER CIR",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602506",
            "telephone_number": "225-354-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 CARVER CIR",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602506",
            "telephone_number": "225-354-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "HONORE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "225-354-6349",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Doraville, GA
• Providers in Doraville, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.