Therabloom, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THERABLOOM, LLC

Practice address

6376 Clore LN
Crestwood, KY 40014-8042

Phone

(260) 437-8918

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Carolyn Luckett, MS, CCC-SLPNPI 1962842716

Title

SLP/Owner

Phone

(260) 437-8918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Carolyn Dana Luckett, MS, CCC-SLP

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1962842716
  NPD Authorized official

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1164232336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 BROWNSBORO RD # 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "260-437-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 CLORE LN",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148042",
            "telephone_number": "260-437-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERABLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "260-437-8918",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100369150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James B Tabler, MD
• Brittney Cole Talley, P.T.
• Trevor K Taylor, DMD
• The Chatter Box LLC
• The Literacy Corner, LLC
• Briana Noelle Tingle, SLP
• Lannette A Trapp, CRNA
• True Care Physical Therapy, Inc.
• Joy Lynne Turner, PT
• Winifred Mallory Turner

• Hearing and Speech Clinic/Center in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Hearing and Speech Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.