Provider Demographics
NPI:1861705162
Name:VOICE THERAPEUTIC SOLUTIONS PLLC
Entity type:Organization
Organization Name:VOICE THERAPEUTIC SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWAKEMI
Authorized Official - Middle Name:IYABO
Authorized Official - Last Name:AMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCMHC
Authorized Official - Phone:888-557-4080
Mailing Address - Street 1:1073 BULLARD CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6867
Mailing Address - Country:US
Mailing Address - Phone:888-557-4080
Mailing Address - Fax:919-249-2150
Practice Address - Street 1:1073 BULLARD CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6867
Practice Address - Country:US
Practice Address - Phone:919-452-1577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NC7110251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6008215Medicaid