NPIMap

Organization Active NPI

Elisha's Speech and Language Services, LLC.

  • Early Intervention Provider Agency
  • Gulfport, MS
National Provider Identifier
1730327404
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ELISHA'S SPEECH AND LANGUAGE SERVICES, LLC.
Practice address
3506 Washington Avenue
Ste. E
Gulfport, MS 39507
Phone
(228) 865-0117
Fax
(228) 865-0119
NPI assigned
Feb 3, 2009
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mrs. Elisha Rokia Harrell, SLP/OWNERNPI 1316185796
Title
Speech Language Pathologist/Owner
Phone
(228) 865-0117

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Rehabilitation Hospital Unit 273Y00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

3506 Washington Avenue
Ste. E
Gulfport, MS 39507

Mailing address

3506 Washington Avenue
Ste. E
Gulfport, MS 39507
Phone (228) 865-0117

National Provider Directory

National Provider Directory

Locations

3506 Washington Ave
Ste E
Gulfport, MS 39507
Phone (228) 865-0117

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1730327404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVENUE",
            "address_2": "STE. E",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-865-0117",
            "fax_number": "228-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVENUE",
            "address_2": "STE. E",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-865-0117",
            "fax_number": "228-865-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHA'S SPEECH AND LANGUAGE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_middle_name": "ROKIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "228-865-0117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP/OWNER"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.