Creating Soulcial Connections LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CREATING SOULCIAL CONNECTIONS LLC

Practice address

4645 Park Commons Dr Apt 503
St Louis Park, MN 55416-4173

Phone

(612) 240-4699

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dana Lynn Hayes, MA CCC-SLPNPI 1649094228

Title

Speech-Language Pathologist

Phone

(612) 240-4699

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Lynn Hayes, MA CCC-SLP

  • Speech-Language Pathologist
  • St Louis Park, MN
  • NPI 1649094228
  NPD Authorized official

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1336963917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD STE 720",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "612-352-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 PARK COMMONS DR APT 503",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164173",
            "telephone_number": "612-240-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SOULCIAL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "612-240-4699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.