Healthcare Provider Details
I. General information
NPI: 1104782291
Provider Name (Legal Business Name): TWENDE TOGETHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
443 BRYCE AVE
WHITE ROCK NM
87547-3605
US
IV. Provider business mailing address
443 BRYCE AVE
WHITE ROCK NM
87547-3605
US
V. Phone/Fax
- Phone: 770-378-4462
- Fax:
- Phone: 770-378-4462
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
BLANCHARD
Title or Position: OWNER/SLP
Credential:
Phone: 770-378-4462