# WELLSPACE PLAY THERAPY LLC

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

## Provider details

- **NPI number:** 1790553766
- **Authorized official:** MRS. FELICIA POWELL ALC (OWNER)
- **Authorized official phone:** (256) 348-3297

## Contact information

- **Practice address:** 604 DAVIS CIR SW, HUNTSVILLE, AL 35801-5014
- **Practice address phone:** (256) 348-3297
- **Mailing address:** 103 CARILLO LN, TONEY, AL 35773-5729
- **Mailing address phone:** (256) 348-3297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 12/19/2023