Organization
CONNECT PLAY THERAPY & FAMILY THERAPY, INC.
Active
Other names
Connected Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE LEA HOUK CAIN MA, LMFT (CEO/PRESIDENT)
(949) 922-4564
Entity
Organization
Contact information
Practice address
18 TECHNOLOGY DR STE 118, IRVINE, CA 92618-2310
(949) 922-4564
Mailing address
18 TECHNOLOGY DR STE 118, IRVINE, CA 92618-2310
(949) 922-4564
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
02/18/2023
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