Healthcare Provider Details

I. General information

NPI: 1770735045
Provider Name (Legal Business Name): KIDS COMMUNICATE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2008
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 DAISY LN N
WILSON NC
27896-6938
US

IV. Provider business mailing address

2848 DAISY LN N
WILSON NC
27896-6938
US

V. Phone/Fax

Practice location:
  • Phone: 252-230-7901
  • Fax: 252-991-6236
Mailing address:
  • Phone: 252-230-7901
  • Fax: 252-991-6236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6229
License Number StateNC

VIII. Authorized Official

Name: LORRIE HALVERSON
Title or Position: OWNER
Credential:
Phone: 252-230-7901