About Face Speech and Language Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP006318 Issued in GA

Legal business name

ABOUT FACE SPEECH AND LANGUAGE SERVICES, LLC

Practice address

309 Breezewood Court
Stockbridge, GA 30281

Phone

(678) 591-6524

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dedra Sherise Bradham, CCC-SLP

Title

Owner/Agent

Phone

(678) 591-6524

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1184862856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BREEZEWOOD COURT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-591-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BREEZEWOOD COURT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-591-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT FACE SPEECH AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "BRADHAM",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_middle_name": "SHERISE",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "678-591-6524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "SLP006318",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP006318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betelhem S Abatneh
• Natalia Abazeri, PA-C
• Khadijah S Abdul-Azeez
• Kimberly P. Abernathy, LPC
• Sena Amandine Able, DNP, FNP-BC, CNL
• Abundance of Care Living Solutions LLC
• Ayman Abunimer, MD
• Accucare Medical Equipment LLC
• Adam Shaikh OD and Associates PC
• Adrienne Perdue Adams

• All providers in Stockbridge, GA
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.