# ACCELERATE EARLY INTERVENTION, LLC

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

## Provider details

- **NPI number:** 1386337079
- **Authorized official:** SUSAN MCALISTER BROACH MSP, CCC/SLP (OWNER)
- **Authorized official phone:** (843) 409-2585

## Contact information

- **Practice address:** 515 FULMORE RD, LAKE CITY, SC 29560-7903
- **Practice address phone:** (843) 409-2585
- **Mailing address:** 515 FULMORE RD, LAKE CITY, SC 29560-7903
- **Mailing address phone:** (843) 409-2585

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 05/30/2023