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General NPI Number Information
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NPI Number | 1558284950
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Entity Type | Organization
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Legal Business Name | ABIDE SPEECH THERAPY LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1145 JAMES DR
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City | ENTERPRISE
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State | AL
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Zip | 36330-2013
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Country | US
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Telephone | 334-447-0456
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Fax |
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Provider Business Mailing Address
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Address Line | 127 PATRICIA LN
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City | DALEVILLE
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State | AL
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Zip | 36322-5309
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Country | US
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Telephone | 334-447-0456
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | AMBER MCCOLLISTER
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Credential | MS, CCC/SLP, AOMT-C
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Telephone | 334-447-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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