Provider Demographics
NPI:1669129003
Name:PLAY LEARN GROW PLLC
Entity type:Organization
Organization Name:PLAY LEARN GROW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KALEIGH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CABELL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:817-233-8679
Mailing Address - Street 1:1918 VENICE AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-8932
Mailing Address - Country:US
Mailing Address - Phone:817-233-8679
Mailing Address - Fax:
Practice Address - Street 1:1918 VENICE AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-8932
Practice Address - Country:US
Practice Address - Phone:817-233-8679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty