Organization
ESSENTIAL MILESTONES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA FLUKER M.A. CCC-SLP (OWNER/MANAGING DIRECTOR)
(678) 975-5921
Entity
Organization
Contact information
Practice address
250 GEORGIA AVE E UNIT 142651, FAYETTEVILLE, GA 30214-5531
(678) 615-8397
Mailing address
250 GEORGIA AVE E UNIT 142651, FAYETTEVILLE, GA 30214-5531
(678) 615-8397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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