# LITTLE WILDFLOWER PLAY THERAPY, LLC

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

## Provider details

- **NPI number:** 1518769421
- **Authorized official:** BROOKE RUSTMAN LPC, RPT (OWNER, CLINICIAN)
- **Authorized official phone:** (605) 491-4799

## Contact information

- **Practice address:** 630 6TH AVE, BROOKINGS, SD 57006-1431
- **Practice address phone:** (605) 491-4799
- **Mailing address:** 630 6TH AVE, BROOKINGS, SD 57006-1431

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 03/24/2025