Healthcare Provider Details

I. General information

NPI: 1265285001
Provider Name (Legal Business Name): SPEAKING EXISTENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 BARBER LANE STE 5
FLORENCE SC
29501
US

IV. Provider business mailing address

416 SOUTHAMPTON DR
IRMO SC
29063-9766
US

V. Phone/Fax

Practice location:
  • Phone: 803-908-5616
  • Fax:
Mailing address:
  • Phone: 803-908-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY CLAUDIA DONALD
Title or Position: OWNER/THERAPIST
Credential: MA, CCC, SLP
Phone: 803-908-5616