Provider Demographics
NPI:1225898356
Name:LOL IN NATURE, LLC
Entity Type:Organization
Organization Name:LOL IN NATURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC-SLP
Authorized Official - Phone:740-591-9041
Mailing Address - Street 1:3750 OLD STATE ROUTE 56
Mailing Address - Street 2:
Mailing Address - City:NEW MARSHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45766-9763
Mailing Address - Country:US
Mailing Address - Phone:740-591-9041
Mailing Address - Fax:
Practice Address - Street 1:3750 OLD STATE ROUTE 56
Practice Address - Street 2:
Practice Address - City:NEW MARSHFIELD
Practice Address - State:OH
Practice Address - Zip Code:45766-9763
Practice Address - Country:US
Practice Address - Phone:740-591-9041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty