Healthcare Provider Details

I. General information

NPI: 1558284950
Provider Name (Legal Business Name): ABIDE SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 JAMES DR
ENTERPRISE AL
36330-2013
US

IV. Provider business mailing address

127 PATRICIA LN
DALEVILLE AL
36322-5309
US

V. Phone/Fax

Practice location:
  • Phone: 334-447-0456
  • Fax:
Mailing address:
  • Phone: 334-447-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: AMBER MCCOLLISTER
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: MS, CCC/SLP, AOMT-C
Phone: 334-447-0456