Complete Speech & Wellness, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3488 Issued in SC

Legal business name

COMPLETE SPEECH & WELLNESS, LLC

Practice address

3870 Rhododendron St
Sumter, SC 29154-1691

Phone

(704) 517-5841

NPI assigned

Jul 9, 2015

Organization subpart

Yes

Parent organization

COMPLETE SPEECH THERAPY & WELLNESS, LLCAs reported in NPPES

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

Authorized official

Name

Lakeeta Ladson-Abrom, MA, CCC/SLP

Title

Owner, Speech Language Pathologist

Phone

(704) 517-5841

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Complete Speech Wellness LLC2 organizations share this tax ID, including this one

Part of

Complete Speech Wellness LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Complete Speech & Wellness, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1306269709
  NPD tax ID

Locations

Practitioners 1

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

• Lakeeta Ladson, MA, CCC-SLP

  • Speech-Language Pathologist
  • Sumter, SC
  • NPI 1205990470
  NPD

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1780068619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 RAST ST",
            "address_2": "SUITE L",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 RHODODENDRON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291541691",
            "telephone_number": "704-517-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SPEECH & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE SPEECH THERAPY & WELLNESS, LLC",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "LADSON-ABROM",
        "authorized_official_first_name": "LAKEETA",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-517-5841",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3488",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306269709",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB689",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Sumter, SC
• Providers in Sumter, 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 Aug 25, 2016; 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.