Tera Walters Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

TERA WALTERS THERAPY LLC

Practice address

110 Amber LN
Lucedale, MS 39452-8623

Phone

(251) 680-9686

NPI assigned

Dec 12, 2018

Organization subpart

No

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

Authorized official

Name

Tera Walters, M.S. CCC-SLP

Title

Owner/Manager

Phone

(251) 680-9686

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Tera Lynn Dozier Walters, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lucedale, MS
  • NPI 1134490196
  NPD

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1801367107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 RIDGE HILL DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394522838",
            "telephone_number": "251-680-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AMBER LN",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394528623",
            "telephone_number": "251-680-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9993 Lifeline Ct",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366088527",
            "country_code": "US",
            "telephone_number": "251-680-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERA WALTERS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-12",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "251-680-9686",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Stringfellow, RPH
• Anna Smith Sublett, PHARMD
• Valerie S Sullivan, PT
• Ellen Patrice Sumrall, BA PSYCHOLOGY
• Darvin Rickey Tanner Sr., RN
• Tara Leann Tillman, FNP
• Kristen Ana Trainer, OD
• Jessica Hope Turner, PMHNP
• Stacy A Upshaw, M.D.
• Courtney Louise Valentine, M.D.

• Hearing and Speech Clinic/Center in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Hearing and Speech Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.