# JUST PEACHY THERAPY LLC

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

## Provider details

- **NPI number:** 1528727732
- **Authorized official:** LISA HEATON (OWNER)
- **Authorized official phone:** (864) 320-1973

## Contact information

- **Practice address:** 222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
- **Practice address phone:** (864) 399-6423
- **Mailing address:** 222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
- **Mailing address phone:** (864) 399-6423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 12/15/2021