Provider Demographics
NPI:1275079386
Name:UPWORDS SPEECH THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:UPWORDS SPEECH THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:614-929-8717
Mailing Address - Street 1:8713 GREYLAG ST
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-7030
Mailing Address - Country:US
Mailing Address - Phone:614-929-8717
Mailing Address - Fax:844-564-1402
Practice Address - Street 1:110 N HIGH ST STE 110
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3069
Practice Address - Country:US
Practice Address - Phone:614-401-4644
Practice Address - Fax:844-564-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 9542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty