1154618049 NPI number — BUTTERFLY SPEECH THERAPY & CONSULTANTS, LLC

Table of content: (NPI 1154618049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154618049 NPI number — BUTTERFLY SPEECH THERAPY & CONSULTANTS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUTTERFLY SPEECH THERAPY & CONSULTANTS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154618049
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6026 KALAMAZOO AVE SE
Provider Second Line Business Mailing Address:
#304
Provider Business Mailing Address City Name:
GRAND RAPIDS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49508-7018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-675-6815
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6026 KALAMAZOO AVE SE
Provider Second Line Business Practice Location Address:
#304
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49508-7018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-920-1908
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2011

Additional Information

Authorized Official

Authorized Official Last Name:
GRIMMETT
Authorized Official First Name:
K
Authorized Official Middle Name:
TERESE
Authorized Official Title or Position:
SPEECH-LANGUAGE PATHOLOGIST/ OWNER
Authorized Official Telephone Number:
616-920-1908

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com