Healthcare Provider Details

I. General information

NPI: 1710804398
Provider Name (Legal Business Name): THE SPEECH BOUTIQUE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 AMBERLEY CT
KATHLEEN GA
31047-2908
US

IV. Provider business mailing address

104 AMBERLEY CT
KATHLEEN GA
31047-2908
US

V. Phone/Fax

Practice location:
  • Phone: 954-470-2220
  • Fax:
Mailing address:
  • Phone: 954-470-2220
  • 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: RITZI VILLATORO
Title or Position: OWNER
Credential: M.S.,CCC-SLP
Phone: 954-470-2220