Covenant Speech TX Plus, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COVENANT SPEECH TX PLUS, LLC

Practice address

33 St Johns Dr
Hampton, VA 23666-4167

Phone

(757) 715-0705

Fax

(757) 838-2582

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Larry Fludd, MPS

Title

Administrator

Phone

(757) 715-0705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1841621927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ST JOHNS DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664167",
            "telephone_number": "757-715-0705",
            "fax_number": "757-838-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ST JOHNS DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664167",
            "telephone_number": "757-715-0705",
            "fax_number": "757-838-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT SPEECH TX PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "FLUDD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-715-0705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis J Cotton
• Cynthia Renee Cotton, QMHP
• Meagan Riley Couch, PHARMD
• Covenant Care, LLC
• Covenant Care, LLC
• Natashia Nicole Cowan, MA, LPC, LSATP, NCC
• Wayne S Cox, PA-C
• William Duane Cox, OPTICIAN
• Fredrick Crawford, DPT
• Zimonna Sharelle Crawford

• Speech-Language Pathologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.