Healthcare Provider Details
I. General information
NPI: 1003692575
Provider Name (Legal Business Name): BEST IMAGE THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2023
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10900 NORTHWEST FWY STE 210F
HOUSTON TX
77092-7324
US
IV. Provider business mailing address
9202 GILES POND DR
MECHANICSVILLE VA
23116-6224
US
V. Phone/Fax
- Phone: 804-510-4920
- Fax:
- Phone: 804-363-6329
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JAMIE
SIMS
Title or Position: CEO
Credential:
Phone: 804-363-6329