Provider Demographics
NPI:1760261457
Name:RESILIENCE PLAY THERAPY & COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:RESILIENCE PLAY THERAPY & COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSPERI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-715-9073
Mailing Address - Street 1:633 E FERNHURST DR STE 801
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1587
Mailing Address - Country:US
Mailing Address - Phone:713-715-9073
Mailing Address - Fax:
Practice Address - Street 1:633 E FERNHURST DR STE 801
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1587
Practice Address - Country:US
Practice Address - Phone:713-715-9073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty