Organization
KID'S THERAPLAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY STAR LMHC/LPC (OWNER/THERAPIST)
(301) 202-7012
Entity
Organization
Contact information
Practice address
725 PARK STREET, SUITE 281, CUMBERLAND, MD 21502
(301) 202-7012
(321) 452-2802
Mailing address
725 PARK STREET, SUITE 281, CUMBERLAND, MD 21502
(301) 202-7012
(321) 452-2802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7949
FL
101YP2500X
Professional Counselor
LPC2309
WV
252Y00000X
Early Intervention Provider Agency
MH7949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811814100
—
FL
Enumeration date
05/22/2011
Last updated
11/20/2017
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