Provider Demographics
NPI:1275334674
Name:SPEAK YOUR MIND SPEECH THERAPY LLC
Entity type:Organization
Organization Name:SPEAK YOUR MIND SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SERVICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:THAYLA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BUERGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-927-7855
Mailing Address - Street 1:201 BELLE FONTAINE CIR APT 121
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2267
Mailing Address - Country:US
Mailing Address - Phone:305-927-7855
Mailing Address - Fax:
Practice Address - Street 1:201 BELLE FONTAINE CIR APT 121
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2267
Practice Address - Country:US
Practice Address - Phone:305-927-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty