NPIMap

Organization Active NPI

Byron Center Speech & Language Therapy LLC

  • Hearing and Speech Clinic/Center
  • Spring Lake, MI
National Provider Identifier
1043869621
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BYRON CENTER SPEECH & LANGUAGE THERAPY LLC
Practice address
18019 Mohawk Dr
Spring Lake, MI 49456-9122
Phone
(248) 622-9198
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devon Lawrey, CCC-SLP
Title
Owner
Phone
(616) 730-2184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

18019 Mohawk Dr
Spring Lake, MI 49456-9122

Mailing address

101 Washington Ave
Suite B, PMB#177
Spring Lake, MI 49417
Phone (616) 730-2184

Other names 1

  • Mitten Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

101 Washington Ave
Ste B
Grand Haven, MI 49417

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1043869621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WASHINGTON AVE",
            "address_2": "SUITE B, PMB#177",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-730-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18019 MOHAWK DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569122",
            "telephone_number": "248-622-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON CENTER SPEECH & LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "LAWREY",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-730-2184",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitten Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.