Provider Demographics
NPI:1588690150
Name:THE BEST ADULT AND CHILDREN'S THERAPY SERVICES OF BAY COUNTY
Entity type:Organization
Organization Name:THE BEST ADULT AND CHILDREN'S THERAPY SERVICES OF BAY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SURVANT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP/CCC EDD
Authorized Official - Phone:850-233-3984
Mailing Address - Street 1:8317 FRONT BEACH RD
Mailing Address - Street 2:SUITE 34 C
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4885
Mailing Address - Country:US
Mailing Address - Phone:850-233-3984
Mailing Address - Fax:850-233-3954
Practice Address - Street 1:8317 FRONT BEACH RD
Practice Address - Street 2:SUITE 34 C
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407-4885
Practice Address - Country:US
Practice Address - Phone:850-233-3984
Practice Address - Fax:850-233-3954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3760235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty