| Play Fabulous | |
|
9761 Dorothy Dr Olive Branch MS 38654-6598 | |
| (901) 412-2720 | |
| Not Available |
| Full Name | Play Fabulous |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9761 Dorothy Dr, Olive Branch, Mississippi |
| Authorized Official Name and Position | Stacey Denise Guthrie-aldinger (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9014122720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play Fabulous 9761 Dorothy Dr Olive Branch MS 38654-6598 Ph: (901) 412-2720 | Play Fabulous 9761 Dorothy Dr Olive Branch MS 38654-6598 Ph: (901) 412-2720 |
| NPI Number | 1598129090 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598129090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1239 (Mississippi) | Primary |
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