Nourish Play Therapy Llc

LBN: Nourish Play Therapy Llc
Nourish Play Therapy Llc is an health care organization with primary practice located at 5510 Abrams Rd Ste 120 , Dallas TX 75214-2099. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Nourish Play Therapy Llc can be contacted via phone (214) 208-7469, or through Martinez, Antoinette Marie via phone (214) 208-7469.

Contact Information

Primary practice address
5510 Abrams Rd Ste 120 Dallas TX 75214-2099
Fax: (866) 294-6406
Website:
Authorized official contact:
Name: Martinez, Antoinette Marie Licensed Professional Counselor (LPC)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 71350 Texas

Profile Details

NPI number 1487037685
LBN Legal business name Nourish Play Therapy Llc
DBA Doing business as
Authorized official Martinez, Antoinette Marie Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2015
Last updated May 31st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487037685 NPPES
Texas MEDICAID 3501587

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