MEDICARE: BILINGUAL KEY THERAPY, INC

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	261QH0700X	Hearing and Speech Clinic/Center	SA15831	FL

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

General Provider Information

NPI Number	:	1659889111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILINGUAL KEY THERAPY, INC

Provider Business Mailing Address
First Line	:	2678 SW ACCO RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-2813
Country	:	US
Telephone Number	:	772-621-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 NW SAINT LUCIE WEST BLVD STE 208
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-1963
Country	:	US
Telephone Number	:	772-672-0897
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	ELIZABETH BARRIOS
Credential	:	MS CCC SLP
Telephone Number	:	772-672-0897

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	09/20/2022

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