Provider Demographics
NPI:1962925917
Name:FOR THE CHILDREN (POR LOS NINOS), LLC
Entity type:Organization
Organization Name:FOR THE CHILDREN (POR LOS NINOS), LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAUTENSCHLAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:843-200-9600
Mailing Address - Street 1:13 HARRILL CT
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3727
Mailing Address - Country:US
Mailing Address - Phone:843-795-3818
Mailing Address - Fax:
Practice Address - Street 1:13 HARRILL CT
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3727
Practice Address - Country:US
Practice Address - Phone:843-200-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4382235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA0952Medicaid