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Organization
WELLSPACE PLAY THERAPY LLC
Active
Organization
WELLSPACE PLAY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA POWELL ALC (OWNER)
(256) 348-3297
Entity
Organization
Contact information
Practice address
604 DAVIS CIR SW, HUNTSVILLE, AL 35801-5014
(256) 348-3297
Mailing address
103 CARILLO LN, TONEY, AL 35773-5729
(256) 348-3297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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