| Playhouse Collaborative | |
|
500 Huber Park Ct Ste 106 Weldon Spring MO 63304-8683 | |
| (636) 344-0580 | |
| Not Available |
| Full Name | Playhouse Collaborative |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 500 Huber Park Ct Ste 106, Weldon Spring, Missouri |
| Authorized Official Name and Position | Marie Bonner-horon (CO-FOUNDER) |
| Authorized Official Contact | 6182925957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playhouse Collaborative 500 Huber Park Ct Ste 106 Weldon Spring MO 63304-8683 Ph: (636) 344-0580 | Playhouse Collaborative 500 Huber Park Ct Ste 106 Weldon Spring MO 63304-8683 Ph: (636) 344-0580 |
| NPI Number | 1649008475 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649008475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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