Provider Demographics
NPI:1871928176
Name:RIGGS SPEECH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:RIGGS SPEECH THERAPY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:832-296-1026
Mailing Address - Street 1:11133 INTERSTATE 45 S STE 190
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-5834
Mailing Address - Country:US
Mailing Address - Phone:936-494-0570
Mailing Address - Fax:936-494-0571
Practice Address - Street 1:11133 I-45 S.
Practice Address - Street 2:190
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302
Practice Address - Country:US
Practice Address - Phone:936-494-0570
Practice Address - Fax:936-494-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X, 235Z00000X
TX105410261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX426736101Medicaid