Provider Demographics
NPI:1528721503
Name:OZARK SPEAK EASY, LLC
Entity type:Organization
Organization Name:OZARK SPEAK EASY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-860-4982
Mailing Address - Street 1:4101 N STATE HIGHWAY NN STE 101
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-7198
Mailing Address - Country:US
Mailing Address - Phone:417-744-9284
Mailing Address - Fax:
Practice Address - Street 1:4101 N STATE HIGHWAY NN STE 101
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7198
Practice Address - Country:US
Practice Address - Phone:417-744-9284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech