Active NPI
Intown Speech Therapy, LLC
- Hearing and Speech Clinic/Center
- Brookhaven, GA
National Provider Identifier
1649041203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- INTOWN SPEECH THERAPY, LLC
- Practice address
- 4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702 - Phone
- (251) 533-3944
- NPI assigned
- Jan 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma Fontenot
- Title
- Owner
- Phone
- (251) 533-3944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702
Mailing address
4420 Peachtree Rd NE Apt 1207
Brookhaven, GA 30319-2702
Phone (251) 533-3944
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1649041203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 PEACHTREE RD NE APT 1207",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192702",
"telephone_number": "251-533-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 PEACHTREE RD NE APT 1207",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192702",
"telephone_number": "251-533-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTOWN SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "FONTENOT",
"authorized_official_first_name": "EMMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-533-3944"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.