Healthcare Provider Details
I. General information
NPI: 1265372999
Provider Name (Legal Business Name): WHOLE CHILD SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
942 LAWN VIEW LN
FRANKLIN TN
37064-5566
US
IV. Provider business mailing address
942 LAWN VIEW LN
FRANKLIN TN
37064-5566
US
V. Phone/Fax
- Phone: 615-972-3499
- Fax:
- Phone: 615-972-3499
- 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:
KELLY
BANDAS
Title or Position: OWNER
Credential: CCC-SLP
Phone: 615-972-3499