Provider Demographics
NPI:1033608120
Name:WEEPLAY2LEARN
Entity Type:Organization
Organization Name:WEEPLAY2LEARN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WHITE KEMP
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-396-2833
Mailing Address - Street 1:2502 BRADFORD PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-8189
Mailing Address - Country:US
Mailing Address - Phone:919-396-2833
Mailing Address - Fax:
Practice Address - Street 1:2502 BRADFORD PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-8189
Practice Address - Country:US
Practice Address - Phone:919-396-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018374063252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency