Provider Demographics
NPI:1760150536
Name:LOGOS THERAPY GROUP LLC
Entity Type:Organization
Organization Name:LOGOS THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:786-281-3928
Mailing Address - Street 1:8950 SW 152ND ST STE 107
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1901
Mailing Address - Country:US
Mailing Address - Phone:786-281-3928
Mailing Address - Fax:833-672-2767
Practice Address - Street 1:8950 SW 152ND ST STE 107
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1901
Practice Address - Country:US
Practice Address - Phone:786-281-3928
Practice Address - Fax:833-672-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-05
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty