NPIMap

Organization Active NPI

Atlanta Speech & Language Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Atlanta, GA
National Provider Identifier
1366730764
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP007327 Issued in GA
Legal business name
ATLANTA SPEECH & LANGUAGE THERAPY, LLC
Practice address
7525 Ball Mill Rd
Atlanta, GA 30350-4405
Phone
(404) 663-1116
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Lauren Gomes, M.ED. CCC-SLP
Title
Speech-Language Pathologist
Phone
(404) 663-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP007327 GA Primary

Addresses

Primary practice location

7525 Ball Mill Rd
Atlanta, GA 30350-4405

Mailing address

7525 Ball Mill Rd
Atlanta, GA 30350-4405
Phone (404) 663-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1366730764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 BALL MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504405",
            "telephone_number": "404-663-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 BALL MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504405",
            "telephone_number": "404-663-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPEECH & LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-663-1116",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "SLP007327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.