Healthcare Provider Details
I. General information
NPI: 1013838275
Provider Name (Legal Business Name): HB4THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4467 PLAYGROUND LN
PALMYRA MO
63461-2832
US
IV. Provider business mailing address
4467 PLAYGROUND LN
PALMYRA MO
63461-2832
US
V. Phone/Fax
- Phone: 573-697-7484
- Fax:
- Phone: 573-697-7484
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HALEY
BICHSEL
Title or Position: OWNER/CEO/THERAPIST
Credential: LCSW, MSW
Phone: 573-697-7484