Gulf Coast Children's Speech Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4736 Issued in LA

Legal business name

GULF COAST CHILDREN'S SPEECH SERVICES, LLC

Practice address

1331 Ochsner Blvd
Covington, LA 70433-8177

Phone

(985) 234-0491

NPI assigned

May 23, 2013

Last updated

May 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Bagley, MCD,CCC-SLPNPI 1457627622

Title

Owner

Phone

(985) 234-0491

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Monica Guarino Bagley, M.C.D.

  • Speech-Language Pathologist
  • Covington, LA
  • NPI 1457627622
  NPD (past) Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1871930347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702013",
            "telephone_number": "985-234-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338177",
            "telephone_number": "985-234-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CHILDREN'S SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-234-0491",
        "authorized_official_credential": "MCD,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Guillory, CRNA
• Jennifer Dorand Guillory, APRN
• Jacques L Guillot, MD
• Claude Arthur Guillotte, LPC
• Gulf Coast Brain Sport & Spine LLC
• Gulf Coast Mobile Imaging
• Gulf Coast Wound Care LLC
• Gulf South Medical & Surgical Institute, Inc. (Covington Dermatology Clinic)
• Gulfsouth Critical Care LLC
• Gulfsouth Hospital Medicine LLC

• Speech-Language Pathologist in Covington, LA
• Providers in Covington, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.