Active NPI
Mullins Speech Therapy, LLC
- Speech-Language Pathologist
- Hattiesburg, MS
National Provider Identifier
1477170686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MULLINS SPEECH THERAPY, LLC
- Practice address
- 63 Nicolaus Dr
Hattiesburg, MS 39402-8113 - Phone
- (601) 303-1116
- Fax
- (601) 255-8630
- NPI assigned
- Jul 3, 2020
- 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
- Mr. Steven Kyle Mullins, CCC-SLP
- Title
- Owner
- Phone
- (601) 731-0997
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
63 Nicolaus Dr
Hattiesburg, MS 39402-8113
Mailing address
63 Nicolaus Dr
Hattiesburg, MS 39402-8113
Phone (601) 731-0997
National Provider Directory
National Provider DirectoryLocations
5268 Old Highway 11
Ste 9A
Hattiesburg, MS 39402
Phone (601) 746-5101
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Hattiesburg, MS
- NPI 1861746489
-
- Speech-Language Pathologist
- Hattiesburg, MS
- NPI 1194428904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1477170686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 NICOLAUS DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028113",
"telephone_number": "601-731-0997",
"fax_number": "601-255-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 NICOLAUS DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028113",
"telephone_number": "601-303-1116",
"fax_number": "601-255-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLINS SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "MULLINS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-731-0997",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "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 Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.