| Purposeful Play, Llc | |
|
11109 River Hills Ln Las Vegas NV 89135-1791 | |
| (480) 485-9562 | |
| Not Available |
| Full Name | Purposeful Play, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11109 River Hills Ln, Las Vegas, Nevada |
| Authorized Official Name and Position | Jessica Poole (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7028486004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Play, Llc 11109 River Hills Ln Las Vegas NV 89135-1791 Ph: (480) 485-9562 | Purposeful Play, Llc 11109 River Hills Ln Las Vegas NV 89135-1791 Ph: (480) 485-9562 |
| NPI Number | 1649951484 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649951484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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