A Place To Grow Pediatric Therapy

LBN: A Place To Grow Pediatric Therapy
A Place To Grow Pediatric Therapy is an health care organization with primary practice located at 64 Rollins Ln , Palm Coast FL 32164-6947. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. A Place To Grow Pediatric Therapy can be contacted via phone (352) 359-1725, or through Mahoney, Aimee via phone (352) 359-1725.

Contact Information

Primary practice address
64 Rollins Ln Palm Coast FL 32164-6947
Phone: (352) 359-1725
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Aimee CCC-SLP
Phone: (352) 359-1725

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11599 Florida

Profile Details

NPI number 1972023620
LBN Legal business name A Place To Grow Pediatric Therapy
DBA Doing business as
Authorized official Mahoney, Aimee CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972023620 NPPES
Florida MEDICAID 002828400

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