SLC Therapy, P.C.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11212642 Issued in WV

Legal business name

SLC THERAPY, P.C.

Practice address

29240 Buckingham St
Suite 5
Livonia, MI 48154-4575

Phone

(866) 752-0899

Fax

(203) 604-0602

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Landria Monique Seals Green, CCC-SLPNPI 1679876676

Title

Executive Director

Phone

(866) 752-0899

Specialties & licenses 1

Addresses

Tax ID family

SLC Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SLC Therapy

  • Behavior Analyst
  • Westland, MI
  • NPI 1134436561
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Landria M Seals Green

  • Behavior Analyst
  • Livonia, MI
  • NPI 1679876676
  NPD (past) Authorized official

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1396170130",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "29240 BUCKINGHAM",
            "address_2": "SUITE 5",
            "city": "LIVONIA",
            "state": "WAYNE",
            "postal_code": "48154",
            "telephone_number": "866-752-0899",
            "fax_number": "203-604-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 5",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "866-752-0899",
            "fax_number": "203-604-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLC THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SEALS GREEN",
        "authorized_official_first_name": "LANDRIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "866-752-0899",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WV",
            "license": "11212642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Slappo
• Robert Slaughter
• Steve Slayton
• Alivia Slazinski
• SLC Therapy
• Sleep O2, LLC.
• Sleepmed Source, LLC
• Nicholas Sleiman, M.D.
• David C. Slekovich, D.D.S.
• Sarah Elizabeth Slimak, LLMSW

• Behavior Analyst in Livonia, MI
• Providers in Livonia, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.