NPIMap

Organization Active NPI

Outreach Therapy Services, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1700873676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005643 Issued in GA
Legal business name
OUTREACH THERAPY SERVICES, LLC
Practice address
1307 Adams Lake Blvd SE
Atlanta, GA 30339-3387
Phone
(404) 277-9869
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Chaundra Elois Harris, MA CCC-SLPNPI 1003944430
Title
Speech Language Pathogist/Owner
Phone
(404) 277-9869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 005643 GA Primary

Addresses

Primary practice location

1307 Adams Lake Blvd SE
Atlanta, GA 30339-3387

Mailing address

1307 Adams Lake Blvd SE
Atlanta, GA 30339-3387
Phone (404) 277-9869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700873676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ADAMS LAKE BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393387",
            "telephone_number": "404-277-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ADAMS LAKE BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393387",
            "telephone_number": "404-277-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHAUNDRA",
        "authorized_official_middle_name": "ELOIS",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOGIST/OWNER",
        "authorized_official_telephone_number": "404-277-9869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "005643",
            "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 Aug 22, 2020; 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.