Provider Demographics
NPI:1366199689
Name:SUNNYSTEPS THERAPY,LLC
Entity type:Organization
Organization Name:SUNNYSTEPS THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:KEATON
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP
Authorized Official - Phone:954-648-8136
Mailing Address - Street 1:1158 SW 158TH WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2255
Mailing Address - Country:US
Mailing Address - Phone:954-648-8136
Mailing Address - Fax:954-432-7635
Practice Address - Street 1:10031 PINES BLVD STE 211
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6169
Practice Address - Country:US
Practice Address - Phone:954-648-8136
Practice Address - Fax:954-432-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty