| Play 4 Healing Pllc | |
|
13550 Northgate Estates Drive Colorado Springs CO 80921 | |
| (719) 464-4771 | |
| Not Available |
| Full Name | Play 4 Healing Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13550 Northgate Estates Drive, Colorado Springs, Colorado |
| Authorized Official Name and Position | Janetq L. Wilkenson (MEMBER/OWNER) |
| Authorized Official Contact | 7194644771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play 4 Healing Pllc 4725 Sand Mountain Point Colorado Springs CO 80923 Ph: (719) 464-4771 | Play 4 Healing Pllc 13550 Northgate Estates Drive Colorado Springs CO 80921 Ph: (719) 464-4771 |
| NPI Number | 1588279699 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588279699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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