Provider Demographics
NPI:1538786371
Name:GLOBAL VILLAGE THERAPY, LLC
Entity type:Organization
Organization Name:GLOBAL VILLAGE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER AND SLP
Authorized Official - Prefix:
Authorized Official - First Name:AATHIRAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:314-530-5100
Mailing Address - Street 1:2464 TAYLOR RD STE 119
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1222
Mailing Address - Country:US
Mailing Address - Phone:314-530-5100
Mailing Address - Fax:
Practice Address - Street 1:16471 HOLLISTER CROSSING DR
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63011-1957
Practice Address - Country:US
Practice Address - Phone:662-641-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-27
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty