Provider Demographics
NPI:1376219212
Name:WEE PLAY FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:WEE PLAY FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANIE
Authorized Official - Middle Name:ALYN
Authorized Official - Last Name:SPRAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, RPT
Authorized Official - Phone:765-416-3422
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:FLORA
Mailing Address - State:IN
Mailing Address - Zip Code:46929-0173
Mailing Address - Country:US
Mailing Address - Phone:765-416-3422
Mailing Address - Fax:
Practice Address - Street 1:2115 N 750 W
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-8506
Practice Address - Country:US
Practice Address - Phone:765-434-0425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1215486501Medicaid