# COASTAL SPEECH AND LANGUAGE CENTER, LLC

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

## Provider details

- **NPI number:** 1891631156
- **Authorized official:** JENNIFER DUCKWORTH MS, CCC-SLP (OWNER, THERAPIST)
- **Authorized official phone:** (386) 346-0523

## Contact information

- **Practice address:** 1439 N US HIGHWAY 1 STE A6, ORMOND BEACH, FL 32174-0736
- **Practice address phone:** (386) 450-8083
- **Practice address fax:** (386) 777-3863
- **Mailing address:** 1439 N US HIGHWAY 1 STE A6, ORMOND BEACH, FL 32174-0736
- **Mailing address phone:** (386) 450-8083
- **Mailing address fax:** (386) 777-3863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2026
- **Last updated:** 04/28/2026