# FISHER'S PLAYHOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174378541
- **Authorized official:** DEMPSEY FISHER LCSW (OWNER)
- **Authorized official phone:** (850) 972-8193

## Contact information

- **Practice address:** 2220 BOXWOOD CIR, PORTALES, NM 88130-9356
- **Practice address phone:** (850) 972-8193
- **Mailing address:** 2220 BOXWOOD CIR, PORTALES, NM 88130-9356
- **Mailing address phone:** (850) 972-8193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2024
- **Last updated:** 05/27/2025