Salt & Light Speech-Language Resources LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SALT & LIGHT SPEECH-LANGUAGE RESOURCES LLC

Practice address

400 Vestavia Pkwy Ste 135
Vestavia, AL 35216-3784

Phone

(205) 582-7717

Fax

(205) 855-3017

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Carol MavrakosNPI 1730763962

Title

Owner

Phone

(205) 582-7717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Carol Mavrakos, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Vestavia, AL
  • NPI 1730763962
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1952970063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 135",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163784",
            "telephone_number": "205-582-7717",
            "fax_number": "205-855-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 135",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163784",
            "telephone_number": "205-582-7717",
            "fax_number": "205-855-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT SPEECH-LANGUAGE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "MAVRAKOS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-582-7717"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Shae Russell, OTD, OTR/L
• Leigh Ann Russell, DPT
• Sage Dental of Vestavia Hills, PLLC
• Haileigh Salazar
• Timothy Salke
• Karen Sandberg Patton, PH.D.
• Alexis Shivers Sapp
• Carly Sartain
• Mary Morgan Saunders, ALC
• Alyssa Scarbrough

• Speech-Language Pathologist in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.