BREAKING BOUNDARIES LLC NPI 1528609278

NPI Information

  • NPI: 1528609278
  • Provider Name: BREAKING BOUNDARIES, LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 471 HIGHWAY 590
    ELLISVILLE, MS
    ZIP 39437
  • Phone: (601) 319-4056

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NPI Details

BREAKING BOUNDARIES, LLC is a speech language pathologist in Ellisville, MS. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. BREAKING BOUNDARIES, LLC NPI is 1528609278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

471 HIGHWAY 590
ELLISVILLE, MS
ZIP 39437-241
Phone: (601) 319-4056

The provider's authorized official is Amy E Young .
The authorized official title is Manager and has the following contact phone number (601) 319-4056.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.

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
1235Z00000XSpeech-Language PathologistYes

What is NPI?

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This page was last updated on: 11/21/2025

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