Provider Demographics
NPI:1194226001
Name:BEST SELF THERAPY LLC
Entity Type:Organization
Organization Name:BEST SELF THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSCSW/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-259-0332
Mailing Address - Street 1:920 N TYLER RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3267
Mailing Address - Country:US
Mailing Address - Phone:316-347-9419
Mailing Address - Fax:316-636-7122
Practice Address - Street 1:920 N TYLER RD STE 104
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3267
Practice Address - Country:US
Practice Address - Phone:316-347-9419
Practice Address - Fax:316-636-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS47671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty