=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689538118
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE SUNSHINE SPEECH COMPANY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 598 WILD HEARTS WAY
-----------------------------------------------------
City | SENECA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29678-5946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-251-5185
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 KAY DR
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29605-1430
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-251-5185
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST
-----------------------------------------------------
Name | ELIZABETH ZONDLAK
-----------------------------------------------------
Credential | CCC-SLP
-----------------------------------------------------
Telephone | 912-266-0182
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------