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FRESH START SPEECH THERAPY SERVICES LLC. NPI 1528591302


NPI Information

NPI: 1528591302
Provider Name: FRESH START SPEECH THERAPY SERVICES LLC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
9957 MOORINGS DR STE 301
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 652-6165
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FRESH START SPEECH THERAPY SERVICES LLC. is a clinic center in Jacksonville, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FRESH START SPEECH THERAPY SERVICES LLC. NPI is 1528591302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9957 MOORINGS DR STE 301
JACKSONVILLE, FL
ZIP 32257-415
Phone: (904) 652-6165
Fax: (833) 241-4607

The provider's authorized official is Khalilah Mignon Marques .
The authorized official title is Director, Manager and has the following contact phone number (904) 652-6165.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 5/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
22355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
3235Z00000XSpeech-Language PathologistNo
4261QH0700XClinic/CenterHearing and SpeechNo
5261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.