LIVELY SPEECH AND LANGUAGE THERAPY LLC NPI 1912614488

NPI Information

  • NPI: 1912614488
  • Provider Name: LIVELY SPEECH AND LANGUAGE THERAPY, LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Doing Business As: LIVELY SPEECH AND LANGUAGE THERAPY
  • Address: 111 NATURE WALK PKWY UNIT 108
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 729-6759

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NPI Details

LIVELY SPEECH AND LANGUAGE THERAPY, LLC is a speech language pathologist in St Augustine, FL. 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. LIVELY SPEECH AND LANGUAGE THERAPY, LLC NPI is 1912614488. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lively Speech And Language Therapy.

The provider's business location address is:

111 NATURE WALK PKWY UNIT 108
ST AUGUSTINE, FL
ZIP 32092-065
Phone: (904) 729-6759
Fax: (904) 490-8549

The provider's authorized official is Sarah Lively .
The authorized official title is Ceo & Founder and has the following contact phone number (904) 729-6759.

The enumeration date for this NPI number is 11/3/2022 and was last updated on 1/12/2024.

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
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SA12730OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
2SA14057OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SARAH LIVELY
3SA20932OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY MALLORY ABERCROMBIE
4SA19092OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN
5SA19465OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY JULIANNE TRAUNER
6SA15493OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AJA WALKER
7SA16825OTHERFLORIDAFL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SAMANTHA REPALONE

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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