Provider Demographics
NPI:1215475769
Name:SOARING THERAPY SERVICES INC
Entity type:Organization
Organization Name:SOARING THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:CARTAGENA-CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:407-288-6368
Mailing Address - Street 1:5119 PIAZZA LOOP
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8011
Mailing Address - Country:US
Mailing Address - Phone:407-288-6368
Mailing Address - Fax:
Practice Address - Street 1:5119 PIAZZA LOOP
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8011
Practice Address - Country:US
Practice Address - Phone:407-288-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-04
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13898235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty