Provider Demographics
NPI:1043789704
Name:PLAYFUL THERAPY CONNECTIONS LLC
Entity Type:Organization
Organization Name:PLAYFUL THERAPY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORLOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-458-1615
Mailing Address - Street 1:9709 STANTON HALL CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2729
Mailing Address - Country:US
Mailing Address - Phone:410-458-1615
Mailing Address - Fax:
Practice Address - Street 1:9882 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2087
Practice Address - Country:US
Practice Address - Phone:202-750-1028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-23
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty