Provider Demographics
NPI:1780471797
Name:BEYOND SPEECH THERAPY LLC
Entity type:Organization
Organization Name:BEYOND SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP/MANING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAVANNA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:TOMMASI
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:337-853-5321
Mailing Address - Street 1:5810 TURNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-7120
Mailing Address - Country:US
Mailing Address - Phone:337-853-5321
Mailing Address - Fax:
Practice Address - Street 1:5810 TURNBERRY DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-7120
Practice Address - Country:US
Practice Address - Phone:337-853-5321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center