Organization Active NPI

Mullins Speech Therapy, LLC

  • Speech-Language Pathologist
  • Hattiesburg, MS
National Provider Identifier
1477170686
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mr. Steven Kyle Mullins, CCC-SLPNPI 1861746489
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.