Healthcare Provider Details

I. General information

NPI: 1821115395
Provider Name (Legal Business Name): SPEECH, HEARING & COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 15TH ST
HOPKINSVILLE KY
42240-2036
US

IV. Provider business mailing address

210 WEST 15TH STREET
HOPKINSVILLE KY
42240-2036
US

V. Phone/Fax

Practice location:
  • Phone: 270-885-0034
  • Fax: 270-886-7947
Mailing address:
  • Phone: 270-885-0034
  • Fax: 270-886-7947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberKY-0044
License Number StateKY

VIII. Authorized Official

Name: MS. THELMA MIRIAM MCKENZIE
Title or Position: ADMINISTRATOR
Credential: M.S.
Phone: 270-885-0034