Healthcare Provider Details

I. General information

NPI: 1871418210
Provider Name (Legal Business Name): THE LITTLE SPEECH HOUSE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STANWELL CT
CLEMMONS NC
27012-9047
US

IV. Provider business mailing address

6255 TOWNCENTER DR # 738
CLEMMONS NC
27012-9376
US

V. Phone/Fax

Practice location:
  • Phone: 336-448-8458
  • Fax:
Mailing address:
  • Phone: 336-448-8458
  • 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: MS. MARIA RAKINTZAKI
Title or Position: SLP, OWNER/MEMBER AND ORGANIZER
Credential:
Phone: 336-448-8458