=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992339873
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LET'S CHAT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2020
-----------------------------------------------------
Last Update Date | 02/28/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2636 S MILFORD RD
-----------------------------------------------------
City | HIGHLAND
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48357-4938
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-684-9610
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6655 CARLYLE CT
-----------------------------------------------------
City | WEST BLOOMFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48322-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-933-5753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | KAREN CODEN
-----------------------------------------------------
Credential | MS, CCC-SLP/L
-----------------------------------------------------
Telephone | 248-933-5753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------