Louisiana Teletherapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LOUISIANA TELETHERAPY LLC

Doing business as

Louisiana Teletherapy

Practice address

12072 Griffith Rd
Gonzales, LA 70737-6478

Phone

(225) 715-9745

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Maggie Deville, M.A.NPI 1508404468

Title

Owner

Phone

(225) 715-9745

Specialties & licenses 1

Addresses

Other names 1

• Louisiana Teletherapy Doing business as

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.

• Maggie Deville, SLP-CCC

  • Speech-Language Pathologist
  • Gonzales, LA
  • NPI 1508404468
  Authorized official Same address or phone

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1457980336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12072 GRIFFITH RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12072 GRIFFITH RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376478",
            "telephone_number": "225-715-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA TELETHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "DEVILLE",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-715-9745",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Teletherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Dawn Lobell
• Warren Hunter Locke, FNP-C
• Lisa G Lopez, LPN
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy 05354)
• Louisiana Dermatology Associates, LLC
• Louisiana Voice and Swallow Solutions
• Chad Loup, MD
• Tyesha Michelle Love
• Richard Luneau, DO
• Lyn Hassenboehler, LCSW Counseling Services, LLC

• Speech-Language Pathologist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.