Provider Demographics
NPI:1174212013
Name:SILVER LINING SPEECH AND LANGUAGE LLC
Entity type:Organization
Organization Name:SILVER LINING SPEECH AND LANGUAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:KACY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FLORACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-720-1639
Mailing Address - Street 1:7108 LATE AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-1457
Mailing Address - Country:US
Mailing Address - Phone:321-720-1639
Mailing Address - Fax:
Practice Address - Street 1:7108 LATE AUTUMN LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-1457
Practice Address - Country:US
Practice Address - Phone:321-720-1639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty