Provider Demographics
NPI:1568908374
Name:HEALING THROUGH PLAY: COUNSELING SERVICES FOR CHILDREN
Entity Type:Organization
Organization Name:HEALING THROUGH PLAY: COUNSELING SERVICES FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORLINA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-505-3840
Mailing Address - Street 1:5808 S RAPP ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1900
Mailing Address - Country:US
Mailing Address - Phone:720-505-3840
Mailing Address - Fax:
Practice Address - Street 1:5808 S RAPP ST
Practice Address - Street 2:STE. 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1900
Practice Address - Country:US
Practice Address - Phone:720-505-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health