Organization Active NPI

Light of Mine Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1720732126
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LIGHT OF MINE SPEECH THERAPY, PLLC
Practice address
17844 Mound Rd Ste a
Cypress, TX 77433-4838
Phone
(346) 812-7959
NPI assigned
Feb 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Authorized official

Name
Angelica Adame
Title
Speech-Language Pathologist
Phone
(346) 812-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

17844 Mound Rd Ste a
Cypress, TX 77433-4838

Mailing address

PO Box 162
Waller, TX 77484-0162
Phone (346) 812-7959

National Provider Directory

National Provider Directory

Locations

17844 Mound Rd
Ste A
Cypress, TX 77433
Phone (346) 812-7959

1002 Village Square Dr
Ste B
Tomball, TX 77375

11019 Northpointe Blvd
Ste C
Tomball, TX 77375

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1720732126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774840162",
            "telephone_number": "346-812-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 MOUND RD STE A",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334838",
            "telephone_number": "346-812-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF MINE SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "ADAME",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "346-812-7959"
    },
    "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 Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.