Provider Demographics
NPI:1871106583
Name:PRACTICAL THERAPY SOLUTIONS
Entity type:Organization
Organization Name:PRACTICAL THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHONYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LACOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:770-549-4707
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:EXPERIMENT
Mailing Address - State:GA
Mailing Address - Zip Code:30212-0275
Mailing Address - Country:US
Mailing Address - Phone:770-771-3380
Mailing Address - Fax:
Practice Address - Street 1:327 S 9TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4111
Practice Address - Country:US
Practice Address - Phone:770-771-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty