Organization
PLAY THERAPY EDUCATIONAL SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE MITCHELL SANDERS LCSW (DIRECTOR)
(310) 752-9806
Entity
Organization
Contact information
Practice address
8939 S SEPULVEDA BLVD STE 250, LOS ANGELES, CA 90045-3658
(310) 752-9806
Mailing address
8726 S SEPULVEDA BLVD # D-316, LOS ANGELES, CA 90045-4014
(310) 752-9806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/05/2022
Last updated
06/09/2023
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