Provider Demographics
NPI:1952853970
Name:SENSAWEE PLAY
Entity Type:Organization
Organization Name:SENSAWEE PLAY
Other - Org Name:WE PLAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:404-636-5272
Mailing Address - Street 1:1816 BRIARWOOD INDUSTRIAL CT NE STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30329-1642
Mailing Address - Country:US
Mailing Address - Phone:404-636-5272
Mailing Address - Fax:404-636-5644
Practice Address - Street 1:1816 BRIARWOOD INDUSTRIAL CT NE STE A
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-1642
Practice Address - Country:US
Practice Address - Phone:404-636-5272
Practice Address - Fax:404-636-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAOT2642174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1639204050OtherNPI
GA1639368533OtherNPI
WA1639204050OtherNPI