Team Therapy SC, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3704 Issued in SC

Legal business name

TEAM THERAPY SC, LLC

Practice address

5 Black Gum Rd
Columbia, SC 29209-1901

Phone

(803) 240-5026

NPI assigned

Nov 8, 2009

Last updated

Nov 8, 2009By 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

Mrs. Leslie McGill McKenzie, MSP, CCC-SLP

Title

President

Phone

(803) 240-5026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257638400000",
    "number": "1912234204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLACK GUM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091901",
            "telephone_number": "803-240-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BLACK GUM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091901",
            "telephone_number": "803-240-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM THERAPY SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MCGILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-240-5026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teach 1 Save 1
• Michael John Teachey, PTA
• Stephanie McKinley Teague, APRN
• Teal Peoples Holistic Counseling & Consultation
• Lindsey Brooke Teal, RN
• Christa Teasley, APRN
• Talisha L Telsee, LPC
• Ashley Templeton
• Jennifer Templeton, PA-C
• Steven Wayne Templeton, D.O.

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, 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 Nov 8, 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.