Provider Demographics
NPI:1912408436
Name:MIRBEN SPEECH LANGUAGE COMPANY LLC
Entity type:Organization
Organization Name:MIRBEN SPEECH LANGUAGE COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MIRANDA BENDEZU
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:689-204-9439
Mailing Address - Street 1:2309 WHISPERING MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6706
Mailing Address - Country:US
Mailing Address - Phone:689-204-9439
Mailing Address - Fax:914-455-0158
Practice Address - Street 1:2309 WHISPERING MAPLE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6706
Practice Address - Country:US
Practice Address - Phone:689-204-9439
Practice Address - Fax:914-455-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty