Lake Cumberland Child Development, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LAKE CUMBERLAND CHILD DEVELOPMENT, INC

Practice address

1056 S Highway 27 Ste 9
Somerset, KY 42501-2893

Phone

(606) 677-1166

Fax

(606) 451-3386

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Witham Speck, M.A., CCC, SLP

Title

President

Phone

(606) 677-1166

Specialties & licenses 5

Addresses

Other names 1

• Speech Language Center, INC Former legal business name

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1386772051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S HIGHWAY 27 STE 9",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012893",
            "telephone_number": "606-677-1166",
            "fax_number": "606-677-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S HIGHWAY 27 STE 9",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012893",
            "telephone_number": "606-677-1166",
            "fax_number": "606-451-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND CHILD DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "WITHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-677-1166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Language Center, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Holly Lafavers, DI
• Linda Renee Lafavers, LPCA
• Lake City Surgical Assistants LLC
• Lake Cumberland Cardiology Associates LLC
• Lake Cumberland Cardiovascular Associates
• Lake Cumberland Community Action Agency, Inc.
• Lake Cumberland Community Action Agency, Inc.
• Lake Cumberland District Health
• Lake Cumberland District Health Department
• Lake Cumberland District Health Department

• Early Intervention Provider Agency in Somerset, KY
• Providers in Somerset, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.