Ultimate Stuttering Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ULTIMATE STUTTERING THERAPY LLC

Practice address

2095 Manhattan Pkwy
Decatur, GA 30035-2252

Phone

(404) 491-9306

Fax

(404) 777-9360

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By 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

Shian Williams, CCC-SLPNPI 1184193724

Title

Owner

Phone

(404) 491-9306

Specialties & licenses 1

Addresses

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.

• Shian Williams, CCC-SLP

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1184193724
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1407439011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361265",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300361265",
            "telephone_number": "404-491-9306",
            "fax_number": "404-777-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 MANHATTAN PKWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352252",
            "telephone_number": "404-491-9306",
            "fax_number": "404-777-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE STUTTERING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-491-9306",
        "authorized_official_credential": "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": []
}

• Amanda Nkechinyere Udunka, DMD
• Olivia Uchechi Ujah, M.D.
• Freeborn O Ukpede, CRNA
• Syed Zia Ullah, MD
• Ultimate Medical Transport LLC
• Iboro Charles Umana, PHD
• Edo-Abasi Effiong Umoh, PHARMD
• Alda Dedies Underwood-Hall, DMD
• Courtney Elena Underwood, RD,LD
• Unified Behavioral Health LLC

• Speech-Language Pathologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.