NPI 1952614844

Clesiaventures

Organisation Early Intervention Provider Agency Stockbridge, GA

Practice location

Address: 7454 Hannover Pkwy S STE 235, Stockbridge, GA 30281-6866
Phone: (470) 491-7707
Fax: (404) 738-2128
Mailing address: 2330 Kennesaw Oaks CT NW, Kennesaw, GA 30152-4269

Authorised official

Name: Mary Louise Duncan
Title: Speech Pathologist
Phone: (404) 805-2875

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SLP006225 (GA)

Other Early Intervention Provider Agency providers in Georgia →

Registry record

NPI: 1952614844
Entity type: Organization
NPI issued: 20 Jul 2010
Record last updated: 20 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.