Organization
PLAYHOUSE COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BONNER-HORON LPC, NCC, RPT-S, ACS (CO-FOUNDER)
(618) 292-5957
Entity
Organization
Contact information
Practice address
500 HUBER PARK CT STE 106, WELDON SPRING, MO 63304-8683
(636) 344-0580
Mailing address
500 HUBER PARK CT STE 106, WELDON SPRING, MO 63304-8683
(636) 344-0580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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