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CHAMPION SPEECH THERAPY LLC

Company Details

Entity Name: CHAMPION SPEECH THERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Feb 2024 (a year ago)
Document Number: L24000075969
Address: 2186 PENNSYLVANIA TER, NORTH PORT, FL 34291
Mail Address: 2186 PENNSYLVANIA TER, NORTH PORT, FL 34291
ZIP code: 34291
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851156111 2024-02-15 2024-02-15 2186 PENNSYLVANIA TER, NORTH PORT, FL, 342916292, US 2186 PENNSYLVANIA TER, NORTH PORT, FL, 342916292, US

Contacts

Phone +1 941-202-3182

Authorized person

Name COURTNEY WELCH
Role SPEECH LANGUAGE PATHOLOGIST
Phone 9412023182

Taxonomy

Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
WELCH, COURTNEY E Agent 2186 PENNSYLVANIA TER, NORTH PORT, FL 34291

Authorized Member

Name Role Address
WELCH, COURTNEY E Authorized Member 2186 PENNSYLVANIA TER, NORTH PORT, FL 34291

Documents

Name Date
Florida Limited Liability 2024-02-12

Date of last update: 08 Jan 2025

Sources: Florida Department of State