Provider Demographics
NPI:1992402051
Name:LITTLE ONES, INFANT AND PEDIATRIC THERAPY
Entity type:Organization
Organization Name:LITTLE ONES, INFANT AND PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, IBCLC
Authorized Official - Phone:806-215-1252
Mailing Address - Street 1:3002 COUNTY ROAD 332
Mailing Address - Street 2:
Mailing Address - City:ANTON
Mailing Address - State:TX
Mailing Address - Zip Code:79313-3446
Mailing Address - Country:US
Mailing Address - Phone:806-215-1252
Mailing Address - Fax:
Practice Address - Street 1:8004 ABBEVILLE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2806
Practice Address - Country:US
Practice Address - Phone:806-370-0851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty