Provider Demographics
NPI:1245748086
Name:ALIGN SPEECH THERAPY AND CONSULTING LLC
Entity Type:Organization
Organization Name:ALIGN SPEECH THERAPY AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCLAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:843-936-0020
Mailing Address - Street 1:10517 OCEAN HIGHWAY UNIT 4 PMB111
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISL
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7655
Mailing Address - Country:US
Mailing Address - Phone:843-936-0020
Mailing Address - Fax:
Practice Address - Street 1:44 COTTAGE DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7877
Practice Address - Country:US
Practice Address - Phone:843-936-0020
Practice Address - Fax:855-718-2654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty