| Divine Intervention Speech-language Therapy Services, Llc | |
|
108 S Highway 135, Suite A, Lakeland, GA 31635-6356 | |
| (229) 560-1135 | |
| (229) 455-2099 |
| Full Name | Divine Intervention Speech-language Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 108 S Highway 135, Lakeland, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083013023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Intervention Speech-language Therapy Services, Llc Po Box 431, Lakeland, GA 31635-0431 Ph: (229) 560-1135 | Divine Intervention Speech-language Therapy Services, Llc 108 S Highway 135, Suite A, Lakeland, GA 31635-6356 Ph: (229) 560-1135 |
Keisha Banks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 S Highway 135 Ste A, Lakeland, GA 31635 Phone: 229-560-1135 | |
Mrs. Brandi Nicole Graddy, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 77 E Howell Dr, Lakeland, GA 31635 Phone: 229-460-9735 |