Provider Demographics
NPI:1548865439
Name:G.O.A.L.S. THERAPEUTIC DAYCARE L.L.C.
Entity type:Organization
Organization Name:G.O.A.L.S. THERAPEUTIC DAYCARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-285-4469
Mailing Address - Street 1:13576 CHARTRES ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-8684
Mailing Address - Country:US
Mailing Address - Phone:251-979-1889
Mailing Address - Fax:
Practice Address - Street 1:21431 COUNTY ROAD 12 S
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-9225
Practice Address - Country:US
Practice Address - Phone:251-979-1889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty