# EARLY INTERVENTION SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Early Intervention Solutions LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205347101
- **Authorized official:** COURTNEY WHITAKER (FOUNDER)
- **Authorized official phone:** (813) 335-1173

## Contact information

- **Practice address:** 4022 LAND O LAKES BLVD, LAND O LAKES, FL 34639-4413
- **Practice address phone:** (813) 335-1173
- **Practice address fax:** (813) 996-9691
- **Mailing address:** 22214 SHORESIDE DR, LAND O LAKES, FL 34639-4615
- **Mailing address phone:** (813) 335-1173
- **Mailing address fax:** (813) 996-9691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 10/18/2017