OrganizationActive
Speech and Language Therapy Services, LLC
NPI 1790054443 · Hearing and Speech Clinic/Center · North Myrtle Beach, SC
Provider details
- NPI number
- 1790054443
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Abushakra, Speech Language Pathologist(843) 491-3572
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1016 2nd Ave N Ste 102
North Myrtle Beach, SC 29582-3287
Phone: (843) 491-3572
Street-level locationGet directions
Mailing address
1016 2nd Ave N Ste 102
North Myrtle Beach, SC 29582-3287
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2017-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.