Provider Demographics
NPI:1134807621
Name:SPOKEN WORD THERAPY LLC.
Entity type:Organization
Organization Name:SPOKEN WORD THERAPY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-415-2947
Mailing Address - Street 1:204 LOWE AVE SE STE 5
Mailing Address - Street 2:BLDG 2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4252
Mailing Address - Country:US
Mailing Address - Phone:256-415-2947
Mailing Address - Fax:251-244-5951
Practice Address - Street 1:204 LOWE AVE SE
Practice Address - Street 2:BLDG 2, STE 5
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4262
Practice Address - Country:US
Practice Address - Phone:256-415-2947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)