Provider Demographics
NPI:1558932913
Name:PLAY INSPIRED COUNSELING AND CONSULTATIONS LLC
Entity Type:Organization
Organization Name:PLAY INSPIRED COUNSELING AND CONSULTATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIKKI
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, RPT
Authorized Official - Phone:561-446-1918
Mailing Address - Street 1:3439 CAPRI RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2432
Mailing Address - Country:US
Mailing Address - Phone:561-446-1918
Mailing Address - Fax:
Practice Address - Street 1:3439 CAPRI RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2432
Practice Address - Country:US
Practice Address - Phone:561-446-1918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)