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Organization
THE THERAPEUTIC PLAY FOUNDATION INC.
Active
Organization
THE THERAPEUTIC PLAY FOUNDATION INC.
Active
Other names
Black Mental Health Task Force
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEYA TONISHA FIELDS LCSW (EXECUTIVE DIRECTOR)
(323) 872-7634
Entity
Organization
Contact information
Practice address
5850 6TH AVE, LOS ANGELES, CA 90043-3263
(323) 924-9084
(213) 723-2087
Mailing address
8200 S VERMONT AVE UNIT 44007, LOS ANGELES, CA 90044-9998
(323) 924-9084
(213) 723-2087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
25754
CA
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
25754
CA
252Y00000X
Early Intervention Provider Agency
25754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB253110
PTAN
CA
Enumeration date
08/26/2015
Last updated
10/31/2025
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