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Southern Oaks Therapy Services LLC

Speech-Language Pathologist in Fairfax, SC · enumerated 2020 · authorized official Kelly Wall, Owner/Speech Language Pathologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710588942

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Oaks Therapy Services LLC
Practice address 1460 Pocotaligo Rd, Fairfax, SC, 29827
Enumeration date Nov 4, 2020
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Kelly Wall
Title Owner/Speech Language Pathologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southern Oaks Therapy Services LLC?
The NPI for Southern Oaks Therapy Services LLC is 1710588942, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southern Oaks Therapy Services LLC?
NPPES lists Kelly Wall (Owner/Speech Language Pathologist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-04.