Organization
THERAKIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI WILSON SLP (OWNER/SPEECH PATHOLOGIST)
(501) 250-5166
Entity
Organization
Contact information
Practice address
112 SOUTH 5TH ST., HEBER SPRINGS, AR 72543-3816
(501) 547-9994
(888) 898-8972
Mailing address
PO BOX 957, HEBER SPRINGS, AR 72543-0957
(501) 250-6068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
09/28/2020
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