Provider Demographics
NPI:1326225962
Name:PLAY ON WORDS, LLC
Entity Type:Organization
Organization Name:PLAY ON WORDS, LLC
Other - Org Name:PLAY ON WORDS THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR - THERAPY SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:314-534-9695
Mailing Address - Street 1:1524 S BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-2206
Mailing Address - Country:US
Mailing Address - Phone:314-534-9695
Mailing Address - Fax:314-735-4224
Practice Address - Street 1:1524 S BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-2206
Practice Address - Country:US
Practice Address - Phone:314-534-9695
Practice Address - Fax:314-735-4224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KELLY E MCCLELLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-25
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health