Provider Demographics
NPI:1821677204
Name:HEIGHTS PLAY THERAPY PLLC
Entity Type:Organization
Organization Name:HEIGHTS PLAY THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:TOLLE
Authorized Official - Last Name:BIXBY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC
Authorized Official - Phone:713-574-5423
Mailing Address - Street 1:373 1/2 W 19TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3946
Mailing Address - Country:US
Mailing Address - Phone:713-574-5423
Mailing Address - Fax:
Practice Address - Street 1:373 1/2 W 19TH ST STE 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3946
Practice Address - Country:US
Practice Address - Phone:713-574-5423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1982205191OtherTYPE 1 NPI