Organization
VALRIE THERAPY ADVANTAGE, LLC
Active
Other names
Valrie Therapy Advantage, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TEAH JONELL VALRIE MA, CCC-SLP (SPEECH PATHOLOGIST/ OWNER)
(843) 260-7760
Entity
Organization
Contact information
Practice address
901 W EVANS ST STE B, FLORENCE, SC 29501-3441
(843) 713-1677
(843) 799-2616
Mailing address
2545 TV RD, FLORENCE, SC 29501-0701
(843) 260-7760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427430438
CAQH
SC
Enumeration date
04/06/2018
Last updated
04/06/2018
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