P Praxis·MD
● Active Type 2 · Organization

Speech Spa, Llc.

Early Intervention Provider Agency·Tucker, GA· NPI 1306241450 · Enumerated 2014 · 11 years on NPI
Speech Spa, Llc. is 1 of 126 early intervention provider agency organizations in Georgia.
NPI age
11 years
Enumerated 2014-10-31
Primary specialty
Early Intervention Provider Agency
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Colemanperryman
Speech Language Pathologist
Last NPPES update
2014-10-31
Source: monthly bulk 2026-05

How this organization compares

Across 126 active early intervention provider agency providers in Georgia.

NPI age
11 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
2260 Northlake Pkwy, Suite 210
Tucker, GA 300844036
📞 6788255750
Mailing address
5826 Rue Villa Ln
Tucker, GA 300841966
📞 6788255750

Authorized official

Amy Jo Colemanperryman, SLP
Speech Language Pathologist
📞 6788255750

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Early Intervention Provider Agency Primary
    Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
    GA license #SLP008019 taxonomy 252Y00000X

Identifiers

TypeValueNotes
05 (GA) 003131271C

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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