Provider Demographics
NPI:1548028681
Name:JOYFUL JOURNEY PEDIATRIC SPEECH AND FEEDING THERAPY, PLLC
Entity type:Organization
Organization Name:JOYFUL JOURNEY PEDIATRIC SPEECH AND FEEDING THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:469-213-8455
Mailing Address - Street 1:18383 PRESTON RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5487
Mailing Address - Country:US
Mailing Address - Phone:469-213-8455
Mailing Address - Fax:469-574-5152
Practice Address - Street 1:3812 ISLAND CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-6306
Practice Address - Country:US
Practice Address - Phone:214-552-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty