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SOUTHERN PEDIATRIC SPEECH THERAPY LLC
NPI 1053818351
Early Intervention Provider Agency in Bloomingdale, GA

Active since April 12, 2018
108 WALNUT ST, BLOOMINGDALE, GA 31302(912) 658-6433 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Apr 12, 2018 (2 updates tracked since 2018).

About Southern Pediatric Speech Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN PEDIATRIC SPEECH THERAPY LLC (NPI 1053818351) is a healthcare organization registered as an early intervention provider agency in Bloomingdale, Georgia and active in the NPI registry since April 2018. The organization lists Holly Hales, Owner, as its authorized official.

NPPES Registry Identity

NPI1053818351
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameSOUTHERN PEDIATRIC SPEECH THERAPY LLC
Location Address108 WALNUT STBloomingdale, GA 31302-8535
Mailing Address108 Walnut StBloomingdale, GA 31302-8535 · (912) 658-6433
Phone(912) 658-6433
Organization SubpartNo
Authorized OfficialHolly HalesOwner · (912) 658-6433
Enumeration DateApril 12, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1053818351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
108 WALNUT ST, Bloomingdale, GA 31302
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Other Identifiers 1

Medicaid003195129AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY HALES M.S., CCC-SLP
Speech-Language Pathologist
108 WALNUT ST
BLOOMINGDALE, GA 31302
Chatham County (912) 658-6433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Pediatric Speech Therapy LLC's NPI number?

The NPI number for Southern Pediatric Speech Therapy LLC is 1053818351. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is Southern Pediatric Speech Therapy LLC located?

Southern Pediatric Speech Therapy LLC is located at 108 Walnut St, Bloomingdale, GA 31302. The listed phone number is (912) 658-6433.

What is Southern Pediatric Speech Therapy LLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Southern Pediatric Speech Therapy LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.