Active NPI
Les Speech Services
- Speech-Language Pathologist
- Fayetteville, GA
National Provider Identifier
1992421846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- LES SPEECH SERVICES
- Doing business as
- Southside Speech Therapy
- Practice address
- 100 Adam Ridge LN
Fayetteville, GA 30214-1806 - Phone
- (770) 853-3578
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Elizabeth Sorrell
- Title
- Owner/SLP
- Phone
- (770) 853-3578
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
100 Adam Ridge LN
Fayetteville, GA 30214-1806
Mailing address
100 Adam Ridge LN
Fayetteville, GA 30214-1806
Phone (770) 853-3578
Other names 1
- Southside Speech Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Atlanta, GA
- NPI 1588091755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665532800000",
"number": "1992421846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ADAM RIDGE LN",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141806",
"telephone_number": "770-853-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ADAM RIDGE LN",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141806",
"telephone_number": "770-853-3578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LES SPEECH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "SORRELL",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "770-853-3578"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Speech Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.