Lively Speech And Language Therapy

LBN: Lively Speech And Language Therapy, Llc
Lively Speech And Language Therapy is an health care organization with primary practice located at 111 Nature Walk Pkwy Unit 108 , St Augustine FL 32092-3065. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Lively Speech And Language Therapy, Llc can be contacted via phone (904) 729-6759, or through Lively, Sarah via phone (904) 729-6759.

Contact Information

Primary practice address
111 Nature Walk Pkwy Unit 108 St Augustine FL 32092-3065
Phone: (904) 729-6759
Fax: (904) 490-8549
Website:
Map and Directions
Authorized official contact:
Name: Lively, Sarah CCC-SLP
Phone: (904) 729-6759

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1912614488
LBN Legal business name Lively Speech And Language Therapy, Llc
DBA Doing business as Lively Speech And Language Therapy
Authorized official Lively, Sarah CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2022
Last updated Jan 12th, 2024 - about last year

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 1912614488 NPPES
Florida Other SA12730 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA14057 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA20932 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA19092 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA19465 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA15493 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
Florida Other SA16825 FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL

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