Therapy Connection Of The Treasure Coast

LBN: Therapy Connection Of The Treasure Coast
Therapy Connection Of The Treasure Coast is an health care organization with primary practice located at 549 Nw Lake Whitney Pl Ste 104 , Port St Lucie FL 34986. 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. Therapy Connection Of The Treasure Coast can be contacted via phone (772) 301-1207, or through Theisen, Justine via phone (772) 301-1207.

Contact Information

Primary practice address
549 Nw Lake Whitney Pl Ste 104 Port St Lucie FL 34986
Fax: (772) 301-1255
Website:
Authorized official contact:
Name: Theisen, Justine M.A. CCC-SLP

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA10918 Florida

Profile Details

NPI number 1124486949
LBN Legal business name Therapy Connection Of The Treasure Coast
DBA Doing business as
Authorized official Theisen, Justine M.A. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2016
Last updated Jul 12th, 2018 - about 6 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 1124486949 NPPES
Florida MEDICAID 017281400

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