Provider Demographics
NPI:1346715786
Name:CHILDREN'S LANGUAGE CENTER, LLC
Entity Type:Organization
Organization Name:CHILDREN'S LANGUAGE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:832-489-4965
Mailing Address - Street 1:3643 AMOS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-4727
Mailing Address - Country:US
Mailing Address - Phone:832-489-4965
Mailing Address - Fax:
Practice Address - Street 1:2600 S LOOP W STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2603
Practice Address - Country:US
Practice Address - Phone:832-489-4965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty