| Playheals-a Therapeutic Counseling Facility | |
|
1885 Weston Ln Tucker GA 30084-5503 | |
| (678) 431-0064 | |
| Not Available |
| Full Name | Playheals-a Therapeutic Counseling Facility |
|---|---|
| Speciality | Counselor |
| Location | 1885 Weston Ln, Tucker, Georgia |
| Authorized Official Name and Position | Chassity Todd (CEO) |
| Authorized Official Contact | 6784310064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Playheals-a Therapeutic Counseling Facility 1885 Weston Ln Tucker GA 30084-5503 Ph: (678) 431-0064 | Playheals-a Therapeutic Counseling Facility 1885 Weston Ln Tucker GA 30084-5503 Ph: (678) 431-0064 |
| NPI Number | 1235973488 |
|---|---|
| Provider Enumeration Date | 06/22/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/06/2024 |
| Medicare PECOS PAC ID | 5395274062 |
|---|---|
| Medicare Enrollment ID | O20250124001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235973488 | NPI | - | NPPES |
| 1275286544 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| Provider Name | Chassity Todd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275286544 PECOS PAC ID: 6204365976 Enrollment ID: I20250128000171 |
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