Active NPI
Honeysuckle Speech and Wellness LLC
- Speech-Language Pathologist
- Coeur D Alene, ID
National Provider Identifier
1356112718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HONEYSUCKLE SPEECH AND WELLNESS LLC
- Practice address
- 1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682 - Phone
- (208) 419-3575
- NPI assigned
- Jan 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laiken Gallis, M.S. CCC SLP
- Title
- SLP
- Phone
- (208) 419-3575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682
Mailing address
1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682
Phone (208) 419-3575
National Provider Directory
National Provider DirectoryLocations
1250 W Ironwood Dr
Ste 241
Coeur D Alene, ID 83814
Phone (208) 419-3575
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Coeur D Alene, ID
- NPI 1861048282
-
- Speech-Language Pathologist
- Coeur D Alene, ID
- NPI 1740553601
-
- Speech-Language Pathologist
- Coeur D Alene, ID
- NPI 1184553315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1356112718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 241",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "208-419-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 241",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "208-419-3575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONEYSUCKLE SPEECH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-12",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "GALLIS",
"authorized_official_first_name": "LAIKEN",
"authorized_official_title_or_position": "SLP",
"authorized_official_telephone_number": "208-419-3575",
"authorized_official_credential": "M.S. 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": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.