Healthcare Provider Details

I. General information

NPI: 1932040763
Provider Name (Legal Business Name): SWEET P SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 S HICO ST
SILOAM SPRINGS AR
72761-3740
US

IV. Provider business mailing address

1700 ACE AVE
GENTRY AR
72734-8038
US

V. Phone/Fax

Practice location:
  • Phone: 918-843-2315
  • Fax:
Mailing address:
  • Phone: 918-843-2315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALLEE ELAINE LYONS
Title or Position: OWNER
Credential: SLPA
Phone: 918-843-2315