Provider Demographics
NPI:1902470792
Name:HOPE SPEECH THERAPY SERVICES
Entity type:Organization
Organization Name:HOPE SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:919-332-7591
Mailing Address - Street 1:24216 ENGOLIO ST
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3743
Mailing Address - Country:US
Mailing Address - Phone:225-687-7952
Mailing Address - Fax:866-593-8924
Practice Address - Street 1:24216 ENGOLIO ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3743
Practice Address - Country:US
Practice Address - Phone:225-687-7952
Practice Address - Fax:866-593-8924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty