Active NPI
Tania Labossiere Huguley, CCC-SLP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1619186665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006195
- Practice address
- 675 Seminole Ave NE
Suite T05
Atlanta, GA 30307-3408 - Phone
- (404) 575-4000
- Fax
- (404) 575-4010
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP006195 | GA | Primary |
Addresses
Primary practice location
675 Seminole Ave NE
Suite T05
Atlanta, GA 30307-3408
Mailing address
2239 Arlington Walk Lane
Grayson, GA 30017
Phone (404) 889-0099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006195 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theratree, LLC. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1619186665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 ARLINGTON WALK LANE",
"city": "GRAYSON",
"state": "GA",
"postal_code": "30017",
"telephone_number": "404-889-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 SEMINOLE AVE NE",
"address_2": "SUITE T05",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303073408",
"telephone_number": "404-575-4000",
"fax_number": "404-575-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGULEY",
"first_name": "TANIA",
"middle_name": "LABOSSIERE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.