Provider Demographics
NPI:1780200717
Name:LET'S PLAY THERAPY CENTER
Entity Type:Organization
Organization Name:LET'S PLAY THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:BYRNES
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:251-929-4848
Mailing Address - Street 1:81 CAISSON TRCE
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-3107
Mailing Address - Country:US
Mailing Address - Phone:251-281-8384
Mailing Address - Fax:
Practice Address - Street 1:8531 SPANISH FORT BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-6200
Practice Address - Country:US
Practice Address - Phone:251-929-4848
Practice Address - Fax:251-850-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty