Provider Demographics
NPI:1023873270
Name:FLAMENCO ARTS & LANGUAGE, LLC.
Entity type:Organization
Organization Name:FLAMENCO ARTS & LANGUAGE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:MELCON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:305-338-1296
Mailing Address - Street 1:10986 SW 75TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2740
Mailing Address - Country:US
Mailing Address - Phone:305-338-1296
Mailing Address - Fax:
Practice Address - Street 1:6420 SW 88TH PATH
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2473
Practice Address - Country:US
Practice Address - Phone:305-338-1296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty