Healthcare Provider Details

I. General information

NPI: 1275334674
Provider Name (Legal Business Name): SPEAK YOUR MIND SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BELLE FONTAINE CIR APT 121
LAKE MARY FL
32746-2267
US

IV. Provider business mailing address

201 BELLE FONTAINE CIR APT 121
LAKE MARY FL
32746-2267
US

V. Phone/Fax

Practice location:
  • Phone: 305-927-7855
  • Fax:
Mailing address:
  • Phone: 305-927-7855
  • 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: THAYLA PATRICIA BUERGO
Title or Position: OWNER/SERVICE PROVIDER
Credential:
Phone: 305-927-7855