ELEUTHERIA, LLC (NPI# 1497027478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497027478 |
| Entity Type | Organization |
| Organization Name | ELEUTHERIA, LLC |
| Other Organization Name | ELEUTHERIA WELLNESS CENTER |
| Practice Address |
500 N Bullard Ave #27 Goodyear AZ 85338-2533 |
| Mailing Address |
13385 W Mcdowell Rd Goodyear AZ 85395-2631 |
| Practice Telephone | 6235846223 |
| Practice Fax Number | 4805053387 |
| Mailing Telephone | 6239865110 |
| Mailing Fax Number | 6232079683 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MS. TERESA CHACE (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 6236985747 |
| Authorized Official Credential | MS SLP-CCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7585 | AZ | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SLP4009 | AZ | Speech, Language and Hearing Service Providers |
| N | 225700000X | Massage Therapist | MT14880 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 4415 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | SLP5608 | AZ | Speech, Language and Hearing Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 5407 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Eleutheria Wellness Center | Doing Business As Name - Organization |
| The Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13385 W Mcdowell Rd, Goodyear, AZ 853952631 | 6239865110 | 6232079683 |
| Street Address |
500 N BULLARD AVE #27 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831470335 | Jacob Tryon | Specialist/Technologist | 500 N Bullard Ave, #27, Goodyear, AZ 85338-2533 | 2011-08-30 |
| 1922556182 | William Brett Trujillo | Physical Therapist | 500 N Bullard Ave, C27, Goodyear, AZ 85338-2533 | 2016-09-16 |
| 1679930028 | Nicole Mundstock | Occupational Therapist | 500 N Bullard Ave, C27, Goodyear, AZ 85338-2533 | 2016-01-15 |
| 1619303971 | April L Shinn | Occupational Therapy Assistant | 500 N Bullard Ave, Suite 27, Goodyear, AZ 85338-2533 | 2013-09-18 |
| 1093150872 | Ashley Ryan Bartlett | Occupational Therapy Assistant | 500 N Bullard Ave, Suite #27, Goodyear, AZ 85338-2533 | 2013-05-07 |
| 1851666010 | Melissa Suzanne Serpico | Specialist/Technologist | 500 N Bullard Ave, Goodyear, AZ 85338-2533 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1487176475 | Holly Ann Jimmerson | Speech-Language Pathologist | 17677 W Lincoln St, Goodyear, AZ 85338-6081 | 2017-07-11 |
| 1588192033 | Ethan Wash | Speech-Language Pathologist | 2655 N Pebble Creek Pkwy, Goodyear, AZ 85395-9051 | 2017-05-30 |
| 1568998623 | Randi D Poole | Speech-Language Pathologist | 17777 W Westar Dr, Goodyear, AZ 85338-5362 | 2017-05-11 |
| 1659607281 | Martin Treon | Speech-Language Pathologist | 13348 S 176th Ln, Goodyear, AZ 85338-5550 | 2009-11-02 |
| 1942536610 | Lucia Maria Fronterotta | Speech-Language Pathologist | 16750 W Garfield St., Goodyear, AZ 85338 | 2009-10-30 |
| 1972740751 | Robin Ann Brown | Speech-Language Pathologist | 12362 S 181st Dr, Goodyear, AZ 85338-5042 | 2009-01-15 |
| 1518102094 | Kristen Owens | Speech-Language Pathologist | 2801 N 135th Ave, Goodyear, AZ 85395-3199 | 2008-12-11 |
| 1245485630 | Lenora Anderson Speech Pathology Services, Inc. | Speech-Language Pathologist | 16182 W Piccadilly Rd, Goodyear, AZ 85395-8082 | 2008-11-26 |
| 1679766539 | Jill Renae Lomonaco | Speech-Language Pathologist | 16109 W Mohave St, Goodyear, AZ 85338-7951 | 2007-08-23 |
| Find all providers in GOODYEAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.