Provider Demographics
NPI:1184513467
Name:PLAY FORWARD COUNSELING
Entity type:Organization
Organization Name:PLAY FORWARD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-345-3651
Mailing Address - Street 1:1200 W WALNUT ST STE 1085
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3681
Mailing Address - Country:US
Mailing Address - Phone:479-345-3651
Mailing Address - Fax:479-974-2817
Practice Address - Street 1:1200 W WALNUT ST STE 1085
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3681
Practice Address - Country:US
Practice Address - Phone:479-345-3651
Practice Address - Fax:479-974-2817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty