Provider Demographics
NPI:1205483633
Name:BEST FRIENDS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:BEST FRIENDS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:912-428-7467
Mailing Address - Street 1:1846 HULSEY RD
Mailing Address - Street 2:
Mailing Address - City:METTER
Mailing Address - State:GA
Mailing Address - Zip Code:30439
Mailing Address - Country:US
Mailing Address - Phone:912-428-5283
Mailing Address - Fax:912-480-6029
Practice Address - Street 1:1846 HULSEY RD
Practice Address - Street 2:
Practice Address - City:METTER
Practice Address - State:GA
Practice Address - Zip Code:30439
Practice Address - Country:US
Practice Address - Phone:912-428-5283
Practice Address - Fax:912-480-6029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty