Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Pediatric Speech Therapy LLC

Organization Early Intervention Provider Agency · NPI 1053818351

Southern Pediatric Speech Therapy LLC is an Early Intervention Provider Agency in Bloomingdale, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Walnut St
Bloomingdale, GA 31302-8535
Phone: (912) 658-6433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1053818351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Hales — Owner · (912) 658-6433
NPI enumeratedApril 12, 2018
Last updated in NPPESJune 16, 2018
Mailing address108 Walnut St, Bloomingdale, GA 31302-8535