| Individual Expressions Therapy, Llc | |
|
8329 Office Park Dr Ste A, Douglasville, GA 30134-6937 | |
| (770) 731-8772 | |
| (470) 300-0042 |
| Full Name | Individual Expressions Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 8329 Office Park Dr Ste A, Douglasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073032884 | NPI | - | NPPES |
| 003147217D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Nilka Gordon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487067468 PECOS PAC ID: 4284151192 Enrollment ID: I20250505002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Individual Expressions Therapy, Llc 8329 Office Park Dr Ste A, Douglasville, GA 30134-6937 Ph: (770) 731-8772 | Individual Expressions Therapy, Llc 8329 Office Park Dr Ste A, Douglasville, GA 30134-6937 Ph: (770) 731-8772 |
Ms. Tammy L Velliquette, M.ED. CCC SLP L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6732 Spring St, Douglasville, GA 30134 Phone: 404-934-0605 Fax: 770-577-2816 | |
Terri Hayes, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3318 Highway 5, Suite 335, Douglasville, GA 30135 Phone: 770-369-7527 | |
Dr. D'jaris Renee White, PH.D, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6732 Spring St, Douglasville, GA 30134 Phone: 678-901-7788 | |
Michelle Miller, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8509 Hospital Dr, Douglasville, GA 30134 Phone: 770-947-5440 | |
Trikare Therapy Services, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3210 Wheldon Way, Douglasville, GA 30135 Phone: 678-467-7368 | |
Domonique Marseille, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3694 Meridian Ln, Douglasville, GA 30135 Phone: 404-904-2591 |