Organization
PEAK COMMUNICATION THERAPY
Active
Parent organization
MINDFUL CONSCIOUS SPIRITS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL CONSCIOUS SPIRITS, LLC
Authorized official
TIFFANY (TY) LOCKHART M.A., CCC-SLP (OWNER/SLP)
(541) 203-0893
Entity
Organization
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(541) 203-0893
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(541) 203-0893
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
12/29/2023
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