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EUREKA PLAY THERAPY NPI 1154922292


NPI Information

NPI: 1154922292
Provider Name: EUREKA PLAY THERAPY
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
208 N CENTRAL AVE STE D
EUREKA, MO
ZIP 63025
Phone: (314) 467-0556
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EUREKA PLAY THERAPY is an adolescent and children mental health clinic center in Eureka, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EUREKA PLAY THERAPY NPI is 1154922292. The provider is registered as an organization entity type.

The provider's business location address is:

208 N CENTRAL AVE STE D
EUREKA, MO
ZIP 63025-850
Phone: (314) 467-0556

The provider's authorized official is Wendy Velicer .
The authorized official title is Owner and has the following contact phone number (314) 467-0556.

The enumeration date for this NPI number is 11/5/2020 and was last updated on 11/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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