Provider Demographics
NPI:1174624670
Name:OXFORD PLAY THERAPY TRAINING INSTITUTE
Entity type:Organization
Organization Name:OXFORD PLAY THERAPY TRAINING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:662-234-6848
Mailing Address - Street 1:PO BOX 1570
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-1570
Mailing Address - Country:US
Mailing Address - Phone:662-234-6848
Mailing Address - Fax:662-234-9792
Practice Address - Street 1:2653 W OXFORD LOOP
Practice Address - Street 2:SUITE 104
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5442
Practice Address - Country:US
Practice Address - Phone:662-234-6848
Practice Address - Fax:662-234-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty