| Play Therapy Educational Services, Incorporated | |
|
8939 S Sepulveda Blvd Ste 250 Los Angeles CA 90045-3658 | |
| (310) 752-9806 | |
| Not Available |
| Full Name | Play Therapy Educational Services, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 8939 S Sepulveda Blvd Ste 250, Los Angeles, California |
| Authorized Official Name and Position | Bridgette Mitchell Sanders (DIRECTOR) |
| Authorized Official Contact | 3107529806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Play Therapy Educational Services, Incorporated 8726 S Sepulveda Blvd # D-316 Los Angeles CA 90045-4014 Ph: (310) 752-9806 | Play Therapy Educational Services, Incorporated 8939 S Sepulveda Blvd Ste 250 Los Angeles CA 90045-3658 Ph: (310) 752-9806 |
| NPI Number | 1316688377 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 2860876448 |
|---|---|
| Medicare Enrollment ID | O20220831000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316688377 | NPI | - | NPPES |
| Provider Name | Bridgette Mitchell Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164801403 PECOS PAC ID: 3779967351 Enrollment ID: I20220831000999 |
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