NPIMap

Organization Active NPI

Southern Charm Therapeutics, PLLC

  • Speech-Language Pathologist
  • Alvord, TX
National Provider Identifier
1821441247
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111652 Issued in TX
Legal business name
SOUTHERN CHARM THERAPEUTICS, PLLC
Practice address
605 Grand Oaks CT
Alvord, TX 76225-6020
Phone
(940) 577-4551
NPI assigned
Jul 20, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mrs. Amanda Gale Pendley, M.S., CCC-SLPNPI 1013466614
Title
Speech Language Pathologist
Phone
(940) 577-4551

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 111782 TX
Speech-Language Pathologist 235Z00000X 111699 TX
Speech-Language Pathologist 235Z00000X 107282 TX
Speech-Language Pathologist 235Z00000X 111652 TX Primary

Addresses

Primary practice location

605 Grand Oaks CT
Alvord, TX 76225-6020

Mailing address

605 Grand Oaks CT
Alvord, TX 76225-6020
Phone (940) 577-4551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1821441247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GRAND OAKS CT",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762256020",
            "telephone_number": "940-577-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GRAND OAKS CT",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762256020",
            "telephone_number": "940-577-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHARM THERAPEUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "PENDLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "940-577-4551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111782",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111699",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107282",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvord, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.