MEDICARE: CHARLESTON SPEECH THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1992633994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLESTON SPEECH THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	393 MEADOW BREEZE LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-4980
Country	:	US
Telephone Number	:	913-209-2893
Fax Number	:

Provider Business Practice Location Address
First Line	:	393 MEADOW BREEZE LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-4980
Country	:	US
Telephone Number	:	913-209-2893
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEREDITH NANCE
Credential	:	CCC-SLP
Telephone Number	:	913-209-2893

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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