Southeast Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4566 Issued in SC

Legal business name

SOUTHEAST THERAPY LLC

Practice address

618 Galway LN
Columbia, SC 29209-2011

Phone

(803) 413-6306

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Hand Richards, MCD, CCC-SLPNPI 1770890907

Title

Speech-Language Pathologist

Phone

(803) 413-6306

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Rachel H Richards, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
  • NPI 1770890907
  NPD (past) Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1952777104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 GALWAY LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092011",
            "telephone_number": "803-413-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 GALWAY LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092011",
            "telephone_number": "803-413-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "HAND",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-413-6306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1144",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southeastern Medical Brokers, Inc.
• Southeastern Medical Supply Co (Southeastern Diabetic Supply)

• 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 Aug 11, 2015; 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.