MEDICARE: CREATING LITTLE TALKERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency
2	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275175259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATING LITTLE TALKERS, LLC

Provider Business Mailing Address
First Line	:	6105 MAGGIES CIR UNIT 115
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-8518
Country	:	US
Telephone Number	:	904-210-7085
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105 MAGGIES CIR UNIT 115
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-8518
Country	:	US
Telephone Number	:	904-210-7085
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CASSANDRA MARQUIS
Credential	:	MS, CCC-SLP
Telephone Number	:	904-210-7085

Provider Enumeration Date	:	10/11/2019
Last Update Date	:	12/08/2025

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Directions to “CREATING LITTLE TALKERS, LLC ” Practice Location

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