# VANTAGE EARLY INTERVENTION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033941356
- **Authorized official:** MR. GUY JOSEPH VINETTE II MA CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (716) 550-0083

## Contact information

- **Practice address:** 421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
- **Practice address phone:** (843) 790-4093
- **Practice address fax:** (843) 501-2297
- **Mailing address:** 421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
- **Mailing address phone:** (843) 790-4093
- **Mailing address fax:** (843) 501-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024