Collective Therapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COLLECTIVE THERAPY LLC

Practice address

121 W Jackson St Ste 104
Dublin, GA 31021-6169

Phone

(478) 595-0317

Fax

(888) 249-2172

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Holly McDonald Howard, M.ED., CCC-SLPNPI 1356677272

Title

Owner/SLP

Phone

(478) 595-0317

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Holly M Howard, SLP

  • Speech-Language Pathologist
  • Dudley, GA
  • NPI 1356677272
  NPD (past) Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1376200048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 REBIE RD",
            "city": "DUDLEY",
            "state": "GA",
            "postal_code": "310222411",
            "telephone_number": "478-595-0317",
            "fax_number": "888-249-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W JACKSON ST STE 104",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216169",
            "telephone_number": "478-595-0317",
            "fax_number": "888-249-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "478-595-0317",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Carlton Coleman, M.ED. SLP
• Elizabeth Jean Coleman, PHD
• James Matthew Coleman
• Lou Ann Coleman, RN
• Tanja L. Coleman, RN
• Jennifer Marie Collier, FNP-BC
• Lee F Collier, MD
• Sandra Moore Collins, PHARMD
• Community Health Care Systems, Inc.
• Community Service Board of Middle Georgia

• Multi-Specialty Clinic/Center in Dublin, GA
• Providers in Dublin, 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 Nov 17, 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.