Provider Demographics
NPI:1336921741
Name:TINY SEEDS THERAPY LLC
Entity Type:Organization
Organization Name:TINY SEEDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:614-313-9265
Mailing Address - Street 1:7615 HIGHWAY 70 S # 1029
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1854
Mailing Address - Country:US
Mailing Address - Phone:615-669-0269
Mailing Address - Fax:
Practice Address - Street 1:4913 STONEMEADE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4045
Practice Address - Country:US
Practice Address - Phone:615-669-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TINY SEEDS THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-19
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty