Provider Demographics
NPI:1881088441
Name:COUNSELING, PLAY THERAPY & MORE, LLC
Entity type:Organization
Organization Name:COUNSELING, PLAY THERAPY & MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TONWAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-639-0613
Mailing Address - Street 1:1595 PEACHTREE PKWY
Mailing Address - Street 2:STE 204 PMB 138
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9584
Mailing Address - Country:US
Mailing Address - Phone:770-639-0613
Mailing Address - Fax:
Practice Address - Street 1:2450 ATLANTA HWY
Practice Address - Street 2:SUITE 1903
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8099
Practice Address - Country:US
Practice Address - Phone:678-845-8371
Practice Address - Fax:478-202-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-22
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004705101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty