PLAY WELLNESS LLC NPI 1689072068

NPI Information

NPI: 1689072068
Provider Name: PLAY WELLNESS LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3545 BROAD ST # 80742
ATLANTA, GA
ZIP 30341
Phone: (770) 375-8124
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PLAY WELLNESS LLC is a professional counselor in Atlanta, GA. PLAY WELLNESS LLC NPI is 1689072068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3545 BROAD ST # 80742
ATLANTA, GA
ZIP 30341-259
Phone: (770) 375-8124

The provider's authorized official is Yolanda Fountain .
The authorized official title is Owner and has the following contact phone number (678) 871-9355.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 6/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC006900	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003155496A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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