| Creative Play Therapy Llc | |
|
2713 S 74th St Fort Smith AR 72903-5170 | |
| (479) 831-5100 | |
| Not Available |
| Full Name | Creative Play Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2713 S 74th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Janet E Richardson (THERAPIST) |
| Authorized Official Contact | 4792266364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Play Therapy Llc 4705 Juniper Ct Fort Smith AR 72903-2232 Ph: (479) 226-6364 | Creative Play Therapy Llc 2713 S 74th St Fort Smith AR 72903-5170 Ph: (479) 831-5100 |
| NPI Number | 1396216321 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396216321 | NPI | - | NPPES |
| 1700211018 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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