NPIMap

Organization Active NPI

Speech Language Pathology Consultants, Inc

  • Speech-Language Pathologist
  • Snellville, GA
National Provider Identifier
1730268244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP001135 Issued in GA
Legal business name
SPEECH LANGUAGE PATHOLOGY CONSULTANTS, INC
Practice address
2386 Clower St
Build. E, Suite 102
Snellville, GA 30078-6134
Phone
(770) 985-9050
Fax
(770) 985-9223
NPI assigned
Nov 3, 2006
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
Ms. Marie G. Lesley, M.S./CCC-SLP/LNPI 1457430951
Title
President Ceo
Phone
(770) 985-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP001135 GA Primary

Addresses

Primary practice location

2386 Clower St
Build. E, Suite 102
Snellville, GA 30078-6134

Mailing address

1106 Masters LN
Snellville, GA 30078-3583
Phone (770) 985-9050

Other identifiers 1

IdentifierTypeStateIssuer
00552098BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2386 Clower St
Ste E102
Snellville, GA 30078
Phone (770) 736-6002

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730268244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MASTERS LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783583",
            "telephone_number": "770-985-9050",
            "fax_number": "770-985-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST",
            "address_2": "BUILD. E, SUITE 102",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "770-985-9050",
            "fax_number": "770-985-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE PATHOLOGY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESLEY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "770-985-9050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S./CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552098B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, 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.