Provider Demographics
NPI:1215515721
Name:THE CENTER FOR DISCOVERING ABILITIES, LLC
Entity type:Organization
Organization Name:THE CENTER FOR DISCOVERING ABILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:303-921-8140
Mailing Address - Street 1:1279 NE 29TH TER
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4885
Mailing Address - Country:US
Mailing Address - Phone:303-921-8140
Mailing Address - Fax:
Practice Address - Street 1:1279 NE 29TH TER
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4885
Practice Address - Country:US
Practice Address - Phone:303-921-8140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051981400Medicaid
FLSA14062OtherFLORIDA DEPARTMENT OF HEALTH SLP LICENSE NUMBER