Provider Demographics
NPI:1225743305
Name:READY SET GROW SPEECH THERAPY LLC
Entity type:Organization
Organization Name:READY SET GROW SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-449-3020
Mailing Address - Street 1:2850 ADAMS ST STE 17
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-4110
Mailing Address - Country:US
Mailing Address - Phone:270-449-3020
Mailing Address - Fax:
Practice Address - Street 1:2850 ADAMS ST STE 17
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-4110
Practice Address - Country:US
Practice Address - Phone:270-449-3020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY71008862660Medicaid