1982640801 NPI number — THE SPEAKING CONSULTANT LLC

Table of content: (NPI 1982640801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982640801 NPI number — THE SPEAKING CONSULTANT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE SPEAKING CONSULTANT 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:
1982640801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8870 YOUREE DR
Provider Second Line Business Mailing Address:
SUITE 216
Provider Business Mailing Address City Name:
SHREVEPORT
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71115-2512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-798-2981
Provider Business Mailing Address Fax Number:
318-798-0447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8870 YOUREE DR
Provider Second Line Business Practice Location Address:
SUITE 216
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71115-2512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-798-2981
Provider Business Practice Location Address Fax Number:
318-798-0447
Provider Enumeration Date:
06/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LAWSON
Authorized Official First Name:
SHELLEY
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CHIEF OPERATIONS OFFICER
Authorized Official Telephone Number:
318-798-2981

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4465 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4398658050 . This is a "BCBS LA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".