Healthcare Provider Details
I. General information
NPI: 1578487138
Provider Name (Legal Business Name): STORYHOUSE PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12318 MONTALCINO CIR
WINDERMERE FL
34786-5672
US
IV. Provider business mailing address
3065 DANIELS RD # 1405
WINTER GARDEN FL
34787-7002
US
V. Phone/Fax
- Phone: 407-759-7043
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
HERRINGTON
Title or Position: OWNER
Credential: CCC-SLP
Phone: 407-759-7043