Healthcare Provider Details

I. General information

NPI: 1285852160
Provider Name (Legal Business Name): EXPRESSIONS ABOUND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 BEDFORDSHIRE RD
LOUISVILLE KY
40222-5509
US

IV. Provider business mailing address

PO BOX 7833
LOUISVILLE KY
40257-0833
US

V. Phone/Fax

Practice location:
  • Phone: 502-494-3379
  • Fax:
Mailing address:
  • Phone: 502-494-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1391
License Number StateKY

VIII. Authorized Official

Name: ANDRIA M TOON
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 502-494-3379