Provider Demographics
NPI: | 1831979368 |
---|---|
Name: | SPEECH WITHOUT LIMITS THERAPY LLC |
Entity type: | Organization |
Organization Name: | SPEECH WITHOUT LIMITS THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRANDON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | STRACHAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 813-530-5949 |
Mailing Address - Street 1: | 15017 N DALE MABRY HWY # 1241 |
Mailing Address - Street 2: | |
Mailing Address - City: | TAMPA |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33618-1816 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 813-530-5949 |
Mailing Address - Fax: | 813-305-7614 |
Practice Address - Street 1: | 16703 EARLY RISER AVE STE 203 |
Practice Address - Street 2: | |
Practice Address - City: | LAND O LAKES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34638-0192 |
Practice Address - Country: | US |
Practice Address - Phone: | 813-530-5949 |
Practice Address - Fax: | 813-305-7614 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-10-02 |
Last Update Date: | 2023-10-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |