Unbrideled Fashiion, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA3515 Issued in FL

Legal business name

UNBRIDELED FASHIION, LLC

Doing business as

Brown Therapy Services

Practice address

905 Cochran Rd
Geneva, FL 32732-9294

Phone

(407) 325-8035

Fax

(407) 349-2253

NPI assigned

Aug 13, 2006

Last updated

Jul 21, 2022By 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. Dana L Vanzandt

Title

Business Partner

Phone

(407) 325-8035

Specialties & licenses 1

Addresses

Other names 1

• Brown Therapy Services Doing business as

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629080874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 COCHRAN RD",
            "city": "GENEVA",
            "state": "FL",
            "postal_code": "327329294",
            "telephone_number": "407-325-8035",
            "fax_number": "407-349-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COCHRAN RD",
            "city": "GENEVA",
            "state": "FL",
            "postal_code": "327329294",
            "telephone_number": "407-325-8035",
            "fax_number": "407-349-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBRIDELED FASHIION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VANZANDT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "407-325-8035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Rose, CCC-SLP
• SG OT,LLC
• Cheryl Simmonds Molyneaux
• Angela Smithson, LCSW
• Sandra Speroni, DC

• Speech-Language Pathologist in Geneva, FL
• Providers in Geneva, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.