Divine Speech and Language Services Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIVINE SPEECH AND LANGUAGE SERVICES INC

Practice address

1229 Battlecreek Rd Ste 210
Jonesboro, GA 30236-2409

Phone

(770) 471-5041

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Chelse MooreNPI 1073686820

Title

Owner

Phone

(404) 993-6981

Specialties & licenses 3

Addresses

Practitioners 1

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

• Chelse Moore, CCC-SLP

  • Speech-Language Pathologist
  • Jonesboro, GA
  • NPI 1073686820
  NPD Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1275292302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BATTLECREEK RD STE 210",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362409",
            "telephone_number": "770-471-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BATTLECREEK RD STE 210",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362409",
            "telephone_number": "770-471-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SPEECH AND LANGUAGE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHELSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-6981"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh T. Dinh, D.C.
• Michele Renee Dionne, MD
• Rose Marie Distefano, PHARMACIST
• Distinctively Yours of Georgia, Inc
• Nash Ditmetaroj, OD
• Karen Dixon, CSA
• Naquita Dobbs
• Katrina Marie Dodson
• Michael F Doherty, MD
• Ashland Doomes, DMD

• Multi-Specialty Clinic/Center in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.