Provider Demographics
NPI:1629679329
Name:JUMP FOR JOI SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:JUMP FOR JOI SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROMONDA
Authorized Official - Middle Name:JOI
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:205-902-0011
Mailing Address - Street 1:109 STERLING LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4362
Mailing Address - Country:US
Mailing Address - Phone:205-902-0011
Mailing Address - Fax:
Practice Address - Street 1:109 STERLING LAKES DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35022-4362
Practice Address - Country:US
Practice Address - Phone:205-902-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty