Provider Demographics
NPI:1700186806
Name:LITTLE BITTY CITY THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:LITTLE BITTY CITY THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MSE/DT
Authorized Official - Phone:501-627-4388
Mailing Address - Street 1:1635 HIGDON FERRY RD
Mailing Address - Street 2:STE C PMB 124
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6913
Mailing Address - Country:US
Mailing Address - Phone:501-627-4388
Mailing Address - Fax:501-525-7531
Practice Address - Street 1:4332 CENTRAL AVE
Practice Address - Street 2:STE N
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7437
Practice Address - Country:US
Practice Address - Phone:501-525-7529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARI08IN23252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency