Provider Demographics
NPI:1720125917
Name:SPOKEN-4 COMMUNICATIONS, LLC
Entity Type:Organization
Organization Name:SPOKEN-4 COMMUNICATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:SMALLWOOD
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:M,ED, CCC-SLP
Authorized Official - Phone:919-361-1090
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-0244
Mailing Address - Country:US
Mailing Address - Phone:919-528-4474
Mailing Address - Fax:919-528-4478
Practice Address - Street 1:200 MEREDITH DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2287
Practice Address - Country:US
Practice Address - Phone:919-361-1090
Practice Address - Fax:888-354-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3243225X00000X
NCSLP-A 01302355S0801X
NC4042235Z00000X
NC6728235Z00000X
NC5069235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211878Medicaid
NC017P8OtherBCBS GROUP ID