SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC NPI 1467323592

NPI Information

  • NPI: 1467323592
  • Provider Name: SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 4243 LEBANON PIKE STE C
    HERMITAGE, TN
    ZIP 37076
  • Phone: (615) 600-5107

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NPI Details

SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC is a speech language pathologist in Hermitage, TN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC NPI is 1467323592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4243 LEBANON PIKE STE C
HERMITAGE, TN
ZIP 37076-170
Phone: (615) 600-5107

The provider's authorized official is Vanna M. Anderson .
The authorized official title is Owener/ceo and has the following contact phone number (615) 657-9123.

The enumeration date for this NPI number is 9/12/2025 and was last updated on 9/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2103K00000XBehavior AnalystNo
3103T00000XPsychologistNo
4103TC2200XPsychologistClinical Child & AdolescentNo
5103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
6171M00000XCase Manager/Care CoordinatorNo
7235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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