NPIMap

Organization Active NPI

Breakthrough Communication and Wellness, LLC

  • Speech-Language Pathologist
  • Grovetown, GA
National Provider Identifier
1326555186
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008723 Issued in GA
Legal business name
BREAKTHROUGH COMMUNICATION AND WELLNESS, LLC
Practice address
2653 Waites Dr
Grovetown, GA 30813-5955
Phone
(330) 801-7810
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Stephanie KeenanNPI 1699282574
Title
Speech-Language Pathologist/Owner
Phone
(330) 801-7810

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP008723 GA Primary

Addresses

Primary practice location

2653 Waites Dr
Grovetown, GA 30813-5955

Mailing address

2653 Waites Dr
Grovetown, GA 30813-5955

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1326555186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 WAITES DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 WAITES DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135955",
            "telephone_number": "330-801-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COMMUNICATION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "330-801-7810"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.