Provider Demographics
NPI:1063226090
Name:WAY TO GROW THERAPY LLC
Entity type:Organization
Organization Name:WAY TO GROW THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDEZ SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:787-370-1918
Mailing Address - Street 1:10598 CORDGRASS LN APT 5206
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-1694
Mailing Address - Country:US
Mailing Address - Phone:787-370-1918
Mailing Address - Fax:
Practice Address - Street 1:10598 CORDGRASS LN APT 5206
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-1694
Practice Address - Country:US
Practice Address - Phone:787-370-1918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty