Provider Demographics
NPI:1417002726
Name:THE GIVING TREE-SPEECH, LANGUAGE & READING SVS, INC.
Entity Type:Organization
Organization Name:THE GIVING TREE-SPEECH, LANGUAGE & READING SVS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-861-9191
Mailing Address - Street 1:1805 SE 16TH AVE
Mailing Address - Street 2:#103
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4672
Mailing Address - Country:US
Mailing Address - Phone:352-861-9191
Mailing Address - Fax:352-861-9124
Practice Address - Street 1:1805 SE 16TH AVE
Practice Address - Street 2:#103
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4672
Practice Address - Country:US
Practice Address - Phone:352-861-9191
Practice Address - Fax:352-861-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6643235Z00000X
FLSA 5967235Z00000X
FLSZ 3988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL344828OtherHE MELISSA
FLS2409OtherBCBS ALICIA
FL229580OtherHEALTHEASE GRP
FLS2281OtherBCBS NIKI