Organization Active NPI

Twist & Shout: Children's Therapy Services, LLC

  • Speech-Language Pathologist
  • Brookhaven, GA
National Provider Identifier
1245650027
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007925 Issued in GA
Legal business name
TWIST & SHOUT: CHILDREN'S THERAPY SERVICES, LLC
Practice address
1816 Briarwood Industrial CT NE Ste a
Brookhaven, GA 30329-1642
Phone
(404) 543-7296
Fax
(888) 978-5662
NPI assigned
Apr 21, 2014
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Jennifer Guerin, M.S., CCC-SLPNPI 1760732325
Title
Speech Language Pathologist
Phone
(404) 543-7296

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 SLP007925 GA Primary

Addresses

Primary practice location

1816 Briarwood Industrial CT NE Ste a
Brookhaven, GA 30329-1642

Mailing address

4123 N Gloucester PL
Atlanta, GA 30341-1212
Phone (404) 543-7296

National Provider Directory

National Provider Directory

Locations

1816 Briarwood Industrial Ct NE
Ste A
Brookhaven, GA 30329
Phone (404) 636-5272

Practitioners & affiliated clinicians

Practitioners 1

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": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1245650027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 N GLOUCESTER PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411212",
            "telephone_number": "404-543-7296",
            "fax_number": "888-978-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 BRIARWOOD INDUSTRIAL CT NE STE A",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291642",
            "telephone_number": "404-543-7296",
            "fax_number": "888-978-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIST & SHOUT: CHILDREN'S THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "GUERIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-543-7296",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.