Healthcare Provider Details

I. General information

NPI: 1952248874
Provider Name (Legal Business Name): FOUNDATIONS SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH ST
SMACKOVER AR
71762-1817
US

IV. Provider business mailing address

105 W 8TH ST
SMACKOVER AR
71762-1817
US

V. Phone/Fax

Practice location:
  • Phone: 870-833-1649
  • Fax:
Mailing address:
  • Phone: 870-833-1649
  • 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: CHRISTI GOFF
Title or Position: OWNER/SPEECH THERAPIST
Credential: MA, CCC-SLP
Phone: 870-833-1649