# CHILDREN & ADULT THERAPY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295738540
- **Authorized official:** RUTH ELLEN ROBERTS SLP (OWNER)
- **Authorized official phone:** (770) 207-9043

## Contact information

- **Practice address:** 226 ALCOVY ST, STE G-1, MONROE, GA 30655-2183
- **Practice address phone:** (770) 207-9043
- **Practice address fax:** (770) 207-9029
- **Mailing address:** 226 ALCOVY ST, STE G-1, MONROE, GA 30655-2183
- **Mailing address phone:** (770) 207-9043
- **Mailing address fax:** (770) 207-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 116745 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/22/2020