Provider Demographics
NPI:1609888999
Name:PLAY AGAIN THERAPY INC
Entity Type:Organization
Organization Name:PLAY AGAIN THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LESCH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:828-438-8833
Mailing Address - Street 1:PO BOX 9044
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-9044
Mailing Address - Country:US
Mailing Address - Phone:828-438-8833
Mailing Address - Fax:828-438-4828
Practice Address - Street 1:205 S STERLING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3568
Practice Address - Country:US
Practice Address - Phone:828-438-8833
Practice Address - Fax:828-438-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC004225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0242EOtherBLUE CROSS BLUE SHIELD NC
NC7210191Medicaid