Provider Demographics
NPI:1386422160
Name:ENHANCED COMMUNICATIONS, LLC
Entity type:Organization
Organization Name:ENHANCED COMMUNICATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KOSHA
Authorized Official - Middle Name:GIBBS
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:803-730-9677
Mailing Address - Street 1:242 PENINSULA WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7395
Mailing Address - Country:US
Mailing Address - Phone:803-730-9677
Mailing Address - Fax:803-868-6962
Practice Address - Street 1:242 PENINSULA WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7395
Practice Address - Country:US
Practice Address - Phone:803-730-9677
Practice Address - Fax:803-868-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1235161589Medicaid
SCSA0656Medicaid