Stallings Enterprises, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3021 Issued in SC

Legal business name

STALLINGS ENTERPRISES, INC

Practice address

4 Rose Haven CT
Blythewood, SC 29016-8233

Phone

(803) 319-2470

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Lisa H Stallings, MSP, CCC-SLP

Title

Owner/SLP

Phone

(803) 319-2470

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1750515193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSE HAVEN CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168233",
            "telephone_number": "803-319-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROSE HAVEN CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168233",
            "telephone_number": "803-319-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLINGS ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "803-319-2470",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA 0344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.