Provider Demographics
NPI:1538487152
Name:IT STARTS HERE, INC.
Entity type:Organization
Organization Name:IT STARTS HERE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:404-245-4848
Mailing Address - Street 1:3645 MARKETPLACE BLVD.
Mailing Address - Street 2:SUITE 130-184
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-5747
Mailing Address - Country:US
Mailing Address - Phone:770-892-4878
Mailing Address - Fax:770-892-4958
Practice Address - Street 1:3645 MARKETPLACE BLVD.
Practice Address - Street 2:SUITE 130-184
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-5747
Practice Address - Country:US
Practice Address - Phone:770-892-4878
Practice Address - Fax:770-892-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005380253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care