Provider Demographics
NPI:1861859886
Name:VISITING GUARDIAN ANGELS, LLC
Entity Type:Organization
Organization Name:VISITING GUARDIAN ANGELS, LLC
Other - Org Name:STEWART COMMUNICATIONS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:214-794-4833
Mailing Address - Street 1:11820 MIRAMAR PKWY
Mailing Address - Street 2:SUITE 127
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5814
Mailing Address - Country:US
Mailing Address - Phone:214-794-4833
Mailing Address - Fax:866-646-0164
Practice Address - Street 1:11820 MIRAMAR PKWY
Practice Address - Street 2:SUITE 127
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5814
Practice Address - Country:US
Practice Address - Phone:214-794-4833
Practice Address - Fax:866-646-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101198235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty