Provider Demographics
NPI:1144839077
Name:CBR THERAPY CONSULTANTS
Entity type:Organization
Organization Name:CBR THERAPY CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RESOLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-954-5655
Mailing Address - Street 1:2615 GEORGE BUSBEE PKWY NW STE 11-318
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4981
Mailing Address - Country:US
Mailing Address - Phone:770-954-5655
Mailing Address - Fax:
Practice Address - Street 1:2615 GEORGE BUSBEE PKWY NW STE 11-318
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-4981
Practice Address - Country:US
Practice Address - Phone:770-954-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty