Healthcare Provider Details

I. General information

NPI: 1699284448
Provider Name (Legal Business Name): ACT SPEECH THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6923 SHANNON WILLOW RD STE 100
CHARLOTTE NC
28226-1331
US

IV. Provider business mailing address

8835 GLADDEN HILL LN
FORT MILL SC
29715-6008
US

V. Phone/Fax

Practice location:
  • Phone: 980-237-3132
  • Fax: 704-457-1097
Mailing address:
  • Phone: 704-252-3125
  • Fax: 704-457-1097

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: REBECCA ROWE
Title or Position: OWNER
Credential: MA, CCC-SLP
Phone: 704-252-3125