SPACE SPEECH THERAPY, LLC
NPI 1093467466
Clinic/Center - Hearing and Speech in Tallahassee, FL

Active since January 26, 2022
850 S GADSDEN ST UNIT 729, TALLAHASSEE, FL 32301(678) 517-9255 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Hearing and Speech

About SPACE SPEECH THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Space Speech Therapy, Llc, a provider established in Tallahassee, Florida operating as a Clinic/center, focusing in hearing and speech . The healthcare provider is registered in the NPI registry with number 1093467466 assigned on January 2022. The practitioner's primary taxonomy code is 261QH0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ms. Kiana Desiree Hines Med., Ccc-slp (Speech Language Pathologist)

NPI
1093467466 Verify this NPI
Provider Name
SPACE SPEECH THERAPY, LLC
Entity Type
Organization
Location Address
850 S GADSDEN ST UNIT 729 TALLAHASSEE, FL 32301
Location Phone
(678) 517-9255
Mailing Address
850 S GADSDEN ST UNIT 729 TALLAHASSEE, FL 32301
Mailing Phone
(678) 517-9255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2022
Last Update Date
01-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Hearing and Speech

Taxonomy Code
261QH0700X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KIANA DESIREE HINES MED., CCC-SLP

Authorized Official Title
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Phone
(404) 482-2947

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Speech-Language Pathologist
850 S GADSDEN ST UNIT 729
TALLAHASSEE, FL 32301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093467466, enumerated as an "organization" on January 26, 2022.

The provider is located at 850 S GADSDEN ST UNIT 729 TALLAHASSEE, FL 32301 and the phone number is (678) 517-9255.

Clinic/Center with taxonomy code 261QH0700X and a focus in Hearing and Speech.