Healthcare Provider Details

I. General information

NPI: 1356932552
Provider Name (Legal Business Name): ABEILLE SPEECH AND FEEDING THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2021
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11777 GRAVOIS RD STE B
SAINT LOUIS MO
63127-1822
US

IV. Provider business mailing address

11777 GRAVOIS RD STE B
SAINT LOUIS MO
63127-1822
US

V. Phone/Fax

Practice location:
  • Phone: 314-252-0153
  • Fax:
Mailing address:
  • Phone: 314-252-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KAYLA RICHARDSON
Title or Position: OWNER, SLP, IBCLC
Credential: CCC-SLP, IBCLC
Phone: 217-257-0070