Provider Demographics
NPI:1801074497
Name:KIDS KOUNT THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:KIDS KOUNT THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:POINTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:251-583-0904
Mailing Address - Street 1:25833 STATE HIGHWAY 181
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6101
Mailing Address - Country:US
Mailing Address - Phone:251-583-0904
Mailing Address - Fax:251-990-7845
Practice Address - Street 1:25833 STATE HIGHWAY 181
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6101
Practice Address - Country:US
Practice Address - Phone:251-583-0904
Practice Address - Fax:251-990-7845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2113-OT, 1465-SLP251C00000X
AL1465-SLP, 2113-OT252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services