Provider Demographics
NPI:1770868572
Name:LITTLE CHATTERBOX SPEECH-LANGUAGE & HEARING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LITTLE CHATTERBOX SPEECH-LANGUAGE & HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TERRELL
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:601-927-3795
Mailing Address - Street 1:213 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-4617
Mailing Address - Country:US
Mailing Address - Phone:601-927-3795
Mailing Address - Fax:888-408-8272
Practice Address - Street 1:213 ALLEN DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-4617
Practice Address - Country:US
Practice Address - Phone:601-927-3795
Practice Address - Fax:888-408-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2906251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06079593Medicaid