Hope Speech Therapy Solutions, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HOPE SPEECH THERAPY SOLUTIONS, LLC

Practice address

615 Diamond Ridge Rd
Seffner, FL 33584-5047

Phone

(813) 461-3111

Fax

(813) 643-9051

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Jillian Faulcon, M.S. CCC-SLP

Title

Clinical Director

Phone

(813) 461-3111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1659989416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DIAMOND RIDGE RD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845047",
            "telephone_number": "813-461-3111",
            "fax_number": "813-643-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DIAMOND RIDGE RD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845047",
            "telephone_number": "813-461-3111",
            "fax_number": "813-643-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SPEECH THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "FAULCON",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "813-461-3111",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024875100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.