| Prominent Therapy Services, Llc | |
|
132 Huntcliff Trl, Ellenwood, GA 30294-2596 | |
| (678) 469-1612 | |
| Not Available |
| Full Name | Prominent Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 132 Huntcliff Trl, Ellenwood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386333037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prominent Therapy Services, Llc 132 Huntcliff Trl, Ellenwood, GA 30294-2596 Ph: (678) 469-1612 | Prominent Therapy Services, Llc 132 Huntcliff Trl, Ellenwood, GA 30294-2596 Ph: (678) 469-1612 |
Jessica Cox, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 Fax: 888-381-0822 |
Mrs. Toni Simone Richardson, M.B.A, M.A, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4606 Bouldercrest Rd, Ellenwood, GA 30294 Phone: 678-334-8508 |
Samara Pearson Kinard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3978 Brookstone Ct, Ellenwood, GA 30294 Phone: 336-517-7947 |
Grayson Cathy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 |
Toya Butler, MA, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 226 Fairview Rd, Ellenwood, GA 30294 Phone: 800-381-2195 Fax: 888-381-0822 |
Dr. Mary L. Duncan, CLINSCD CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4549 Revenue Trl, Ellenwood, GA 30294 Phone: 404-805-2875 Fax: 404-738-2128 |
Speech Evolve Therapy Services, Limited Liability Company Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3980 Ambrose Ridge Ct, Ellenwood, GA 30294 Phone: 404-484-8685 |