GROW BOLDLY SPEECH THERAPY LLC NPI 1467140426

NPI Information

  • NPI: 1467140426
  • Provider Name: GROW BOLDLY SPEECH THERAPY, LLC
  • Classification: Clinic/Center - 261QH0700X
  • Specialization: Hearing and Speech
  • Entity Type: Organization
  • Address: 1038 WILMOT PL
    ST JOHNS, FL
    ZIP 32259
  • Phone: (904) 297-5483

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NPI Details

GROW BOLDLY SPEECH THERAPY, LLC is a hearing and speech clinic center in St Johns, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. GROW BOLDLY SPEECH THERAPY, LLC NPI is 1467140426. The provider is registered as an organization entity type.

The provider's business location address is:

1038 WILMOT PL
ST JOHNS, FL
ZIP 32259-948
Phone: (904) 297-5483

The provider's authorized official is Kristyn Kendrick Cullen .
The authorized official title is Owner and has the following contact phone number (904) 537-1659.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechYes

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: 11/21/2025

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