Provider Demographics
NPI:1215821475
Name:ELEVATE SPEECH THERAPY & COACHING PLLC
Entity type:Organization
Organization Name:ELEVATE SPEECH THERAPY & COACHING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIRTHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CCC SLP
Authorized Official - Phone:513-814-8616
Mailing Address - Street 1:7402 TREYBURN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7402 TREYBURN DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-7351
Practice Address - Country:US
Practice Address - Phone:513-814-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty