Provider Demographics
NPI: | 1265658215 |
---|---|
Name: | COMMUNICATION MADE EASY INC |
Entity type: | Organization |
Organization Name: | COMMUNICATION MADE EASY INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NICOLE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | POTTS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 870-930-6372 |
Mailing Address - Street 1: | 151 SOUTHWEST DR |
Mailing Address - Street 2: | |
Mailing Address - City: | JONESBORO |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72401-5828 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 870-930-6358 |
Mailing Address - Fax: | 870-930-9336 |
Practice Address - Street 1: | 151 SOUTHWEST DR |
Practice Address - Street 2: | |
Practice Address - City: | JONESBORO |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72401-5828 |
Practice Address - Country: | US |
Practice Address - Phone: | 870-930-6358 |
Practice Address - Fax: | 870-930-9336 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-18 |
Last Update Date: | 2024-05-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AR | 155837742 | Medicaid | |
AR | 5F308 | Other | BCBS NUMBER |