NPIMap

Organization Active NPI

Southwest Louisiana Speech and Language Services, LLC

  • Speech-Language Pathologist
  • Lake Charles, LA
National Provider Identifier
1083824098
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3676 Issued in LA
Legal business name
SOUTHWEST LOUISIANA SPEECH AND LANGUAGE SERVICES, LLC
Practice address
2542 21St St
Lake Charles, LA 70601-6958
Phone
(337) 478-0298
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Tina Stills
Title
Owner
Phone
(337) 478-0298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3676 LA Primary

Addresses

Primary practice location

2542 21St St
Lake Charles, LA 70601-6958

Mailing address

2542 21St St
Lake Charles, LA 70601-6958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1083824098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 21ST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 21ST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016958",
            "telephone_number": "337-478-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LOUISIANA SPEECH AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "STILLS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-478-0298"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.