Organization
JOYFUL SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA PRUITT CCC-SLP (OWNER/PRESIDENT)
(706) 247-4277
Entity
Organization
Contact information
Practice address
130 BUTTERCUP LN, BOGART, GA 30622-1622
(706) 247-4277
(800) 915-0219
Mailing address
130 BUTTERCUP LN, BOGART, GA 30622-1622
(706) 247-4277
(800) 915-0219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110429A
—
GA
Enumeration date
08/29/2012
Last updated
03/17/2018
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