1073125118 NPI number — TALK TO ME, INC.

Table of content: (NPI 1073125118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073125118 NPI number — TALK TO ME, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TALK TO ME, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073125118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 E JACKSON ST STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THOMASVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31792-4788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-516-0938
Provider Business Mailing Address Fax Number:
229-236-0364

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 E JACKSON ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THOMASVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31792-4788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-516-0938
Provider Business Practice Location Address Fax Number:
229-236-0364
Provider Enumeration Date:
08/19/2020

Additional Information

Authorized Official

Authorized Official Last Name:
STAPP
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
SAMPSON
Authorized Official Title or Position:
CCC-SLP/SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
229-516-0938

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 790945453I , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com