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Organization
SPEECHCENTER LLC, D/B/A SIDEKICK THERAPY PARTNERS
Active
Organization
SPEECHCENTER LLC, D/B/A SIDEKICK THERAPY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANEA HODGES (CREDENTIALING LEAD)
(336) 725-0222
Entity
Organization
Contact information
Practice address
210 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 725-0222
(336) 725-0454
Mailing address
210 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 725-0222
(336) 725-0454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272C
BLUE CROSS BLUE SHIELD NC
NC
05
—
740272C
—
NC
Enumeration date
06/09/2005
Last updated
07/23/2026
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