Provider Demographics
NPI:1881447217
Name:PLAYTIME WORKS LLC
Entity type:Organization
Organization Name:PLAYTIME WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:TITO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:561-665-1147
Mailing Address - Street 1:2306 S CYPRESS BEND DR APT 420
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4465
Mailing Address - Country:US
Mailing Address - Phone:561-665-1147
Mailing Address - Fax:
Practice Address - Street 1:2306 S CYPRESS BEND DR APT 420
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4465
Practice Address - Country:US
Practice Address - Phone:561-665-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty