Provider Demographics
NPI:1285839217
Name:SPEAK WELL, LLC
Entity Type:Organization
Organization Name:SPEAK WELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:NIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-352-0733
Mailing Address - Street 1:9119 CLARK WAY SE
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5275
Mailing Address - Country:US
Mailing Address - Phone:910-352-0733
Mailing Address - Fax:910-371-0606
Practice Address - Street 1:9119 CLARK WAY SE
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5275
Practice Address - Country:US
Practice Address - Phone:910-352-0733
Practice Address - Fax:910-371-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health