OrganizationActive
A Place to Grow Pediatric Therapy
NPI 1972023620 · Speech-Language Pathologist · Palm Coast, FL
Provider details
- NPI number
- 1972023620
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Aimee Mahoney, Owner/Speech-Language Pathologist(352) 359-1725
- License
- SA11599 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
64 Rollins Ln
Palm Coast, FL 32164-6947
Phone: (352) 359-1725
Approximate (ZIP-level) locationGet directions
Mailing address
64 Rollins Ln
Palm Coast, FL 32164-6947
Registry dates
- Enumerated
- 2017-06-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.