Altruistic Speech and Language Services,LLC
Organization Active NPI Speech-Language Pathologist · Davison, MI
NPI 1679965719 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1679965719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- ALTRUISTIC SPEECH AND LANGUAGE SERVICES,LLC
- Practice address
- 124 S State Rd
Davison, MI 48423-1347 - Phone
- (810) 886-1028
- Fax
- (866) 886-6628
- NPI assigned
- Feb 26, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Heather Marie Brown, MA CCC-SLP
- Title
- Sole Member
- Phone
- (810) 886-1028
Practitioners 7
-
Heather Marie Brown, MA CCC-SLP
-
Jon Dale Morey, D.C.
-
Jessica Rose Slade, LMT
-
Debra Davis, LMT
-
David Michael Stone, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161101000505 | MI | Part B Supplier - Clinic/Group Practice | 2567740251 |
Receives reassigned benefits from 2 practitioners Practice locations: Davison, MI |
National Provider Directory
Locations
124 S State Rd
Davison, MI 48423
Phone (810) 664-7040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
124 S State Rd
Davison, MI 48423-1347
Mailing address
PO Box 605
Davison, MI 48423-0605
Phone (810) 886-1028
Other names
- Altruistic Therapy Services, LLC
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All providers in Davison, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.