Warrior Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WARRIOR THERAPY SERVICES, LLC

Practice address

10205 Parker Forest Dr
Dawsonville, GA 30534-3271

Phone

(615) 987-9851

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By 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

Mykiah ClarkNPI 1740944388

Title

Owner

Phone

(615) 987-9851

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.

• Mykiah Clark

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1740944388
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1568189934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 PARKER FOREST DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305343271",
            "telephone_number": "615-987-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 PARKER FOREST DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305343271",
            "telephone_number": "615-987-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MYKIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-987-9851"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Dawsonville, GA
• Providers in Dawsonville, 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 25, 2022; 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.