NPIMap

Organization Active NPI

Coastal Speech, Language, and Literacy, LLC

  • Hearing and Speech Clinic/Center
  • Ocean Springs, MS
National Provider Identifier
1487338455
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
COASTAL SPEECH, LANGUAGE, AND LITERACY, LLC
Practice address
4214 Bienville Blvd
Ocean Springs, MS 39564-5975
Phone
(228) 218-3362
Fax
(228) 366-9062
NPI assigned
Jun 12, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mrs. Holly Mixon, MS CCC - SLPNPI 1770701641
Title
Speech Language Pathologist
Phone
(228) 218-3362

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
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

4214 Bienville Blvd
Ocean Springs, MS 39564-5975

Mailing address

20250 White Rd
Vancleave, MS 39565-6430
Phone (228) 218-3362

National Provider Directory

National Provider Directory

Locations

4214 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 218-3362

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1487338455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20250 WHITE RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656430",
            "telephone_number": "228-218-3362",
            "fax_number": "228-366-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645975",
            "telephone_number": "228-218-3362",
            "fax_number": "228-366-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPEECH, LANGUAGE, AND LITERACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "228-218-3362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC - SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.