Provider Demographics
NPI:1124381082
Name:THRU A CHILD'S EYES PLAY THERAPY AND FAMILY ENRICHMENT CENTER
Entity Type:Organization
Organization Name:THRU A CHILD'S EYES PLAY THERAPY AND FAMILY ENRICHMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:786-592-0940
Mailing Address - Street 1:1711 W 38TH PL
Mailing Address - Street 2:1207
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7077
Mailing Address - Country:US
Mailing Address - Phone:786-592-0940
Mailing Address - Fax:
Practice Address - Street 1:27535 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8225
Practice Address - Country:US
Practice Address - Phone:786-592-0940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2451251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health