# ASNIICIYAPI PLAY THERAPY & COUNSELING SERVICES

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

## Provider details

- **NPI number:** 1598427890
- **Authorized official:** CYNTHIA MARIE JOHANSON LPC (MANAGER)
- **Authorized official phone:** (605) 864-0891

## Contact information

- **Practice address:** 48251 229TH ST, FLANDREAU, SD 57028-6602
- **Practice address phone:** (605) 864-0891
- **Mailing address:** 48251 229TH ST, FLANDREAU, SD 57028-6602
- **Mailing address phone:** (605) 864-0891

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 10/13/2021
