Propel Pediatric Therapy, Inc.
Organization Active NPI Speech-Language Pathologist · Brookhaven, GA
NPI 1508557802 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1508557802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- PROPEL PEDIATRIC THERAPY, INC.
- Practice address
- 2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027 - Phone
- (404) 228-8558
- NPI assigned
- May 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Cettina Chiarelli, MS CCC-SLP
- Title
- Co-Owner
- Phone
- (404) 228-8558
Corporate family (same tax ID) 2
Practitioners 11
-
Amanda Celeste Benes, CCC-SLP
-
Meredith Ivy Brand, M.ED. CCC-SLP, COM
-
Cettina L Chiarelli, MS-CCC-SLP
-
Alexandra Johst, M.S., CCC-SLP
-
Melissa Korczyk, M.ED., CCC-SLP
-
Shannon Lamar, CCC-SLP
-
Rachelle Pierre, SLP
National Provider Directory
- Tax ID family
- Meredith White Speech Pathology Inc
Locations
2 Corporate Blvd NE
Ste 160
Brookhaven, GA 30329
Phone (404) 228-8558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027
Mailing address
2 Corporate Blvd NE Ste 160
Brookhaven, GA 30329-2027
Phone (404) 228-8558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000860604D | Medicaid | GA |
Other providers in Brookhaven, GA
- Whitney Poppell
- Lindsey Erin Powell
- Premise Health of Georgia Medical PC
- Julia Margaret Price
- Primary Care at Childrens, LLC
- Providence Care
- Alexis Pruett
- PT Solutions of Acworth, LLC
- Publix Super Markets Inc
- Publix Super Markets, Inc.
All providers in Brookhaven, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.