The Speech Tree, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8616 Issued in NC

Legal business name

THE SPEECH TREE, LLC

Practice address

3257 Deep Branch Rd
Lumberton, NC 28360-4903

Phone

(910) 740-6948

Fax

(910) 802-4688

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Wilena Chavis, M.ED.,CCC-SLP

Title

Member/Organizer

Phone

(910) 740-6948

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilena Revels Chavis, M. ED. CCC-SLP

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1467782219
  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1891190971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 DEEP BRANCH RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283604903",
            "telephone_number": "910-740-6948",
            "fax_number": "910-802-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 DEEP BRANCH RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283604903",
            "telephone_number": "910-740-6948",
            "fax_number": "910-802-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH TREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "WILENA",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "910-740-6948",
        "authorized_official_credential": "M.ED.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.