Provider Demographics
NPI:1922604867
Name:SPEAKEZ THERACARE PLLC
Entity Type:Organization
Organization Name:SPEAKEZ THERACARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SENSEMILLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-757-7832
Mailing Address - Street 1:12757 PERSIMMON TREE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-8023
Mailing Address - Country:US
Mailing Address - Phone:347-757-7832
Mailing Address - Fax:
Practice Address - Street 1:12757 PERSIMMON TREE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-8023
Practice Address - Country:US
Practice Address - Phone:347-757-7832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty