# MASON'S PLACE TOO, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750066981
- **Authorized official:** TRENA MCCOY (CEO/PARTNER)
- **Authorized official phone:** (618) 489-1129

## Contact information

- **Practice address:** 125 N RUBY LN \# 2, FAIRVIEW HEIGHTS, IL 62208-1926
- **Practice address phone:** (618) 489-1129
- **Practice address fax:** (618) 213-6082
- **Mailing address:** 125 N RUBY LN \# 2, FAIRVIEW HEIGHTS, IL 62208-1926
- **Mailing address fax:** (618) 213-6082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023