Provider Demographics
NPI:1437721487
Name:BREAKTHROUGH SPEECH, LLC
Entity Type:Organization
Organization Name:BREAKTHROUGH SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:206-715-0584
Mailing Address - Street 1:1004 COMMERCIAL AVE # 829
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4117
Mailing Address - Country:US
Mailing Address - Phone:360-230-8010
Mailing Address - Fax:866-418-0247
Practice Address - Street 1:3706 W 5TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-1248
Practice Address - Country:US
Practice Address - Phone:206-715-0584
Practice Address - Fax:866-418-0247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech