Organization Active NPI

Quality of Life Therapy Associates

  • Speech-Language Pathologist
  • Austell, GA
National Provider Identifier
1346751690
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
QUALITY OF LIFE THERAPY ASSOCIATES
Practice address
7483 Silver Arrow TRL
Austell, GA 30168-2402
Phone
(470) 377-3980
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Ms. Dennette Vassell, MS.,CCC-SLP
Title
SLP/Owner
Phone
(470) 377-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7483 Silver Arrow TRL
Austell, GA 30168-2402

Mailing address

7483 Silver Arrow TRL
Austell, GA 30168-2402
Phone (404) 895-9581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1346751690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7483 SILVER ARROW TRL",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301682402",
            "telephone_number": "404-895-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7483 SILVER ARROW TRL",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301682402",
            "telephone_number": "470-377-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "VASSELL",
        "authorized_official_first_name": "DENNETTE",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "470-377-3980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.