Organization Active NPI

Soulshine Speech Therapy LLC

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1497597231
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOULSHINE SPEECH THERAPY LLC
Practice address
1401 Blair Mill Rd
Silver Spring, MD 20910-4853
Phone
(816) 839-2772
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Alleyiana Brown, M.S. CCC-SLPNPI 1376392548
Title
Owner
Phone
(816) 839-2772

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

1401 Blair Mill Rd
Silver Spring, MD 20910-4853

Mailing address

1401 Blair Mill Rd Apt 622
Silver Spring, MD 20910-4819
Phone (816) 839-2772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1497597231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BLAIR MILL RD APT 622",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104819",
            "telephone_number": "816-839-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BLAIR MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104853",
            "telephone_number": "816-839-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSHINE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLEYIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-839-2772",
        "authorized_official_credential": "M.S. 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 Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.