Provider Demographics
NPI:1578255386
Name:LEXIMIND SPEECH THERAPY SERVICE
Entity Type:Organization
Organization Name:LEXIMIND SPEECH THERAPY SERVICE
Other - Org Name:LEXIMIND SPEECH THERAPY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDDWADO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:773-640-8340
Mailing Address - Street 1:3900 COMMERCE STREET SUITE 106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-7700
Mailing Address - Country:US
Mailing Address - Phone:214-997-3481
Mailing Address - Fax:214-347-9136
Practice Address - Street 1:3900 COMMERCE STREET SUITE 106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-7700
Practice Address - Country:US
Practice Address - Phone:214-997-3481
Practice Address - Fax:214-347-9136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-09-20
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