Provider Demographics
NPI:1467926600
Name:PLAYBIG THERAPY ALABAMA
Entity Type:Organization
Organization Name:PLAYBIG THERAPY ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARLEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-942-2000
Mailing Address - Street 1:4500 W SHANNON LAKES DR STE 3
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2240
Mailing Address - Country:US
Mailing Address - Phone:850-942-2000
Mailing Address - Fax:850-942-2003
Practice Address - Street 1:4500 W SHANNON LAKES DR STE 3
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2240
Practice Address - Country:US
Practice Address - Phone:850-942-2000
Practice Address - Fax:850-942-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty