Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LOGOS COMMUNICATION THERAPY SERVICES, LLC
Active
Organization
LOGOS COMMUNICATION THERAPY SERVICES, LLC
Active
Other names
THE SPEECH POD
Organization subpart
No
Provider details
NPI number
Authorized official
ENRI Y FORT MS,CCC-SLP (OWNER/PROVIDER)
(850) 830-3314
Entity
Organization
Contact information
Practice address
106 BLACK BEAR CIRCLE, NICEVILLE, FL 32578
(850) 830-3314
(850) 904-0355
Mailing address
106 BLACK BEAR CIR, NICEVILLE, FL 32578-1202
(850) 830-3314
(850) 904-0355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117493600
—
FL
05
—
117725200
—
FL
05
—
118480700
—
FL
05
—
118599100
—
FL
01
—
12030298
ASHA CCC
MD
01
—
18378
FL DOH SLP LICENSE
FL
01
—
SA18378
DOH
FL
Enumeration date
02/17/2023
Last updated
11/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up