Provider Demographics
NPI:1659544021
Name:DREAMWEAVERS UNLIMITED, INC.
Entity Type:Organization
Organization Name:DREAMWEAVERS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFFSTETLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-868-8551
Mailing Address - Street 1:PO BOX 6035
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-6000
Mailing Address - Country:US
Mailing Address - Phone:704-868-8551
Mailing Address - Fax:704-868-8552
Practice Address - Street 1:1010 E GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4521
Practice Address - Country:US
Practice Address - Phone:704-868-8551
Practice Address - Fax:704-868-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8076235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty