Eleutheria, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5608 Issued in AZ

Legal business name

ELEUTHERIA, LLC

Doing business as

Eleutheria Wellness Center
The Wellness Center

Practice address

13385 W McDowell Rd
Goodyear, AZ 85395-2631

Phone

(623) 986-5110

Fax

(623) 207-9683

NPI assigned

Feb 6, 2012

Last updated

Dec 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Chace, MS SLP-CCCNPI 1124595012

Title

Owner/Speech Language Pathologist

Phone

(623) 698-5747

Specialties & licenses 9

Addresses

Other names 2

• Eleutheria Wellness Center Doing business as
• The Wellness Center Doing business as

Locations

Practitioners 16

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.

• Teresa Chace

  • Speech-Language Pathologist
  • Goodyear, AZ
  • NPI 1124595012
  Authorized official Same address or phone
• Marisa Aguilar, DPT

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1003460494
  NPD
• Mary Gloan M Bartolome, PT

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1093734261
  NPD
• Sean Chappell

  • Speech-Language Pathologist
  • Chandler, AZ
  • NPI 1033303516
  NPD
• Sara Murray Cloar, OTD

  • Pediatric Occupational Therapist
  • Goodyear, AZ
  • NPI 1134606387
  NPD
• Sarah Huish

  • Speech-Language Pathologist
  • Goodyear, AZ
  • NPI 1376159624
  NPD
• Kristen Maleski, DPT

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1437828597
  NPD
• Katie L Taylor, OTR/L

  • Occupational Therapist
  • Goodyear, AZ
  • NPI 1881824126
  NPD
• Meghan Paige Williamson, MOT

  • Occupational Therapist
  • Goodyear, AZ
  • NPI 1679156087
  NPD
• Ashley Ryan Bartlett, COTA/L

  • Occupational Therapy Assistant
  • Goodyear, AZ
  • NPI 1093150872
  NPD (past)
• April L Shinn, COTA

  • Occupational Therapy Assistant
  • Goodyear, AZ
  • NPI 1619303971
  NPD (past)
• Barbara Tran

  • Speech-Language Assistant
  • Goodyear, AZ
  • NPI 1033553359
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1497027478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13385 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952631",
            "telephone_number": "623-986-5110",
            "fax_number": "623-207-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13385 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952631",
            "telephone_number": "623-986-5110",
            "fax_number": "623-207-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEUTHERIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "623-698-5747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5407",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT14880",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4415",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7585",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4009",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5608",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleutheria Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eleutheria Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawnte Edmond, RN, FNP-C
• Tim Fredrik E. Edquilag, LPC, NCC
• Tania Edwards, AUDD
• Hana M Eichele
• Carol S Eldridge, NP-C
• Abigail Ellis
• Embrace Hospice of Arizona, LLC
• Empower Gastro Health
• Ariella Encinas, LPC
• Kaci-Ann Endo

• Speech-Language Pathologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.