Healthcare Provider Details

I. General information

NPI: 1811834559
Provider Name (Legal Business Name): BEYOND EXPRESSION SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 GRASSY LAKE DR
BATON ROUGE LA
70816-3772
US

IV. Provider business mailing address

3010 GRASSY LAKE DR
BATON ROUGE LA
70816-3772
US

V. Phone/Fax

Practice location:
  • Phone: 225-384-0272
  • Fax:
Mailing address:
  • Phone: 225-384-0272
  • 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: KEYLONDA KEYERA WHEELER
Title or Position: CEO/FOUNDER
Credential: CCC-SLP
Phone: 225-938-1822