1255600748 NPI number — HEART TO HEART SPEECH THERAPY, LLC

Table of content: (NPI 1255600748)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255600748 NPI number — HEART TO HEART SPEECH THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEART TO HEART SPEECH THERAPY, 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:
1255600748
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2855 HAYES ST.
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
NEWBERG
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97132-2752
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-901-5652
Provider Business Mailing Address Fax Number:
888-587-8510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2855 HAYES ST.
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
NEWBERG
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97132-2752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-901-5652
Provider Business Practice Location Address Fax Number:
888-587-8510
Provider Enumeration Date:
12/29/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
JAMIE
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
503-901-5652

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  12656 , registered in the state of OR ; 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