MEDICARE: ENJOY SPEECH, 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1467203208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENJOY SPEECH, LLC

Provider Business Mailing Address
First Line	:	116 SAN SABA DR
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-1456
Country	:	US
Telephone Number	:	361-445-5092
Fax Number	:	361-292-1153

Provider Business Practice Location Address
First Line	:	116 SAN SABA DR
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-1456
Country	:	US
Telephone Number	:	361-445-5092
Fax Number	:	361-292-1153

Authorized Official
Title or Position	:	PROVIDER, OWNER
Name	:	KIM M LINDSEY
Credential	:	SLP
Telephone Number	:	361-445-5092

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	06/04/2026

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Directions to “ENJOY SPEECH, LLC ” Practice Location

Language	Start Address	Practice Location

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