Provider Demographics
NPI:1619117637
Name:PUZZLE PIECE LLC
Entity Type:Organization
Organization Name:PUZZLE PIECE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-969-8080
Mailing Address - Street 1:3140 CAHABA HEIGHTS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5243
Mailing Address - Country:US
Mailing Address - Phone:205-969-8080
Mailing Address - Fax:205-969-4884
Practice Address - Street 1:3140 CAHABA HEIGHTS RD STE 102
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5243
Practice Address - Country:US
Practice Address - Phone:205-969-8080
Practice Address - Fax:205-969-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0200X, 235Z00000X
AL1822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty