# SPARK SPEECH, LANGUAGE AND LEARNING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336920479
- **Authorized official:** MRS. BRITANY C KELLY MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (423) 903-5133

## Contact information

- **Practice address:** 3555 KEITH ST NW STE 213, CLEVELAND, TN 37312-4375
- **Practice address phone:** (423) 716-2458
- **Mailing address:** 3611 SOURWOOD TRL NW, CLEVELAND, TN 37312-2032
- **Mailing address phone:** (423) 903-5133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023
