Provider Demographics
NPI:1508011750
Name:BUSY HANDS BRIGHT MINDS LLC
Entity Type:Organization
Organization Name:BUSY HANDS BRIGHT MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLMER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:440-250-0335
Mailing Address - Street 1:1833 HOLDENS ARBOR RUN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2039
Mailing Address - Country:US
Mailing Address - Phone:440-250-0335
Mailing Address - Fax:440-250-0335
Practice Address - Street 1:1833 HOLDENS ARBOR RUN
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2039
Practice Address - Country:US
Practice Address - Phone:440-250-0335
Practice Address - Fax:440-250-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty