Provider Demographics
NPI:1114396660
Name:IHAV PLLC
Entity Type:Organization
Organization Name:IHAV PLLC
Other - Org Name:I HAVE A VOICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:512-897-7097
Mailing Address - Street 1:2601 LA FRONTERA BLVD
Mailing Address - Street 2:1403
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-8033
Mailing Address - Country:US
Mailing Address - Phone:512-897-7097
Mailing Address - Fax:
Practice Address - Street 1:2601 LA FRONTERA BLVD
Practice Address - Street 2:1403
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8033
Practice Address - Country:US
Practice Address - Phone:512-897-7097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty