Healthcare Provider Details
I. General information
NPI: 1902566912
Provider Name (Legal Business Name): BUSY BEE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2021
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 BLARNEY DR STE 208
COLUMBIA SC
29223-6291
US
IV. Provider business mailing address
115 BLARNEY DR STE 208
COLUMBIA SC
29223-6291
US
V. Phone/Fax
- Phone: 803-393-7036
- Fax: 803-393-7035
- Phone: 803-393-7036
- Fax: 803-393-7035
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHLEY
FUNDERBURK
BRIGMAN
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 803-393-7036