Provider Demographics
NPI:1477289809
Name:FLOWER MOUND SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:FLOWER MOUND SPEECH THERAPY PLLC
Other - Org Name:SPEECH THERAPY 4 KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/SLP
Authorized Official - Phone:214-444-9627
Mailing Address - Street 1:2221 JUSTIN RD STE 119-118
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4848
Mailing Address - Country:US
Mailing Address - Phone:214-444-9627
Mailing Address - Fax:
Practice Address - Street 1:2221 JUSTIN RD STE 119-118
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4848
Practice Address - Country:US
Practice Address - Phone:214-444-9627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty