Be Bold Speech & Language Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BE BOLD SPEECH & LANGUAGE THERAPY LLC

Practice address

8825 W Center St Apt 4
Milwaukee, WI 53222-4661

Phone

(262) 853-0906

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Lauren Duval

Title

Owner

Phone

(262) 853-0906

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1194393272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 W CENTER ST APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224661",
            "telephone_number": "262-853-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 W CENTER ST APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224661",
            "telephone_number": "262-853-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE BOLD SPEECH & LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-853-0906"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.beboldtherapy.com",
            "affiliation": "N",
            "address_1": "8825 W Center St Apt 4",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532224661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.