DENROC ENTERPRISES LLC (NPI# 1083262836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083262836 |
| Entity Type | Organization |
| Organization Name | DENROC ENTERPRISES LLC |
| Practice Address |
1070 Bridle Path Dr Lawrenceville GA 30045-8213 |
| Practice Telephone | 4044839695 |
| Mailing Telephone | 4044839695 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | DENNIS MITCHELL (OWNER) |
| Authorized Official Telephone | 4044839695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
1070 BRIDLE PATH DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568272 | Ivonne Marie Maldonado De La Rosa | Speech-Language Pathologist | 802 Veranda Chase Dr, Lawrenceville, GA 30044-7164 | 2020-05-01 |
| 1831746072 | Marcia Nicole Dixon | Speech-Language Pathologist | 930 New Hope Rd Ste 12, Lawrenceville, GA 30045-3837 | 2019-08-22 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1922508050 | Ebony L. Jasper | Speech-Language Pathologist | 1432 Penhurst Dr, Lawrenceville, GA 30043-8165 | 2018-02-15 |
| 1700392230 | Shelby L Newton | Speech-Language Pathologist | 1900 Cedar St, Lawrenceville, IL 62439-2156 | 2017-12-20 |
| 1598275083 | Ashley Thompson | Speech-Language Pathologist | 250 Langley Dr Ste 1108, Lawrenceville, GA 30046-6932 | 2017-10-10 |
| 1194266411 | Shyla Miller | Speech-Language Pathologist | 578 Hardy Water Dr, Lawrenceville, GA 30045-2257 | 2017-03-20 |
| 1871030494 | Sandra Cook-anderson | Speech-Language Pathologist | 104 Point Ct, Lawrenceville, NJ 08648-2861 | 2017-01-20 |
| 1720438427 | Benjamin Whitney Shelburn | Speech-Language Pathologist | 828 Villa Ridge Pkwy, Lawrenceville, GA 30044-2314 | 2016-06-14 |
| 1932575669 | Julia Nieten-norman | Speech-Language Pathologist | 1152 Chadwick Lake Dr, Lawrenceville, GA 30043-7024 | 2015-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on DENROC ENTERPRISES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.