Immaculate Therapy
Speech-Language Pathologist · Jonesboro, GA
Practice location
1143 Faulkner WayJonesboro, GA 30238-8075
- Phone
- (843) 461-7050
NPI record
- NPI
- 1225770258
- Entity type
- Organization (Type 2)
- Enumeration date
- April 11, 2022
- Last updated
- April 11, 2022
- Certified
- April 11, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
— | — |
Authorized official
- Name
- Jessica Denise Williams, MA, CCC-SLP
- Title
- Speech Pathologist
- Phone
- (843) 461-7050
About Immaculate Therapy
Immaculate Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1143 Faulkner Way, Jonesboro, GA 30238-8075. The NPI number 1225770258 was assigned on April 11, 2022 and the record was last updated on April 11, 2022.
The authorized official for this organization is Jessica Denise Williams, MA, CCC-SLP, Speech Pathologist.
Frequently asked questions
What is the NPI number of Immaculate Therapy?
The NPI number is 1225770258.
What is the phone number of Immaculate Therapy?
The phone number listed for the practice location is (843) 461-7050.
Where is Immaculate Therapy located?
1143 Faulkner Way, Jonesboro, GA 30238-8075.
What is the taxonomy code for Immaculate Therapy?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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