Lilium Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008270 Issued in GA

Legal business name

LILIUM THERAPY SERVICES LLC

Practice address

7961 Highway 92 Ste 100
Woodstock, GA 30189-5209

Phone

(770) 549-8882

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Deidre J Cherry, MA CCC- SLP

Title

Owner

Phone

(770) 549-8882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1508378191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 FRIPP LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018051",
            "telephone_number": "770-549-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7961 HIGHWAY 92 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895209",
            "telephone_number": "770-549-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIUM THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-549-8882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC- SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Woodstock, GA
• Providers in Woodstock, 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 Oct 17, 2018; 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.