Healthcare Provider Details
I. General information
NPI: 1912848011
Provider Name (Legal Business Name): ABILITIES SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
536 CALHOUN ST
WEST POINT MS
39773-3169
US
IV. Provider business mailing address
536 CALHOUN ST
WEST POINT MS
39773-3169
US
V. Phone/Fax
- Phone: 501-206-4555
- Fax:
- Phone: 501-206-4555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RENEA
HAWKINS
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 501-206-4555