Provider Demographics
NPI:1356037659
Name:ABC THERAPY CONNECTIONS LLC
Entity type:Organization
Organization Name:ABC THERAPY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORECIE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:501-408-7168
Mailing Address - Street 1:9321 LABETTE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6812
Mailing Address - Country:US
Mailing Address - Phone:501-408-7168
Mailing Address - Fax:501-271-4387
Practice Address - Street 1:9321 LABETTE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6812
Practice Address - Country:US
Practice Address - Phone:501-408-7168
Practice Address - Fax:501-271-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty