Provider Demographics
NPI:1932245610
Name:COMPREHENSIVE SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:STRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:225-603-1933
Mailing Address - Street 1:6228 CREEKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-0118
Mailing Address - Country:US
Mailing Address - Phone:225-603-1933
Mailing Address - Fax:
Practice Address - Street 1:8762 QUARTERS LAKE RD
Practice Address - Street 2:BLDG. 12 SUITE 5
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7300
Practice Address - Country:US
Practice Address - Phone:225-603-1933
Practice Address - Fax:225-757-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
LA4044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty