Organization
CREATIVE PLAY LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORIANN E KINNEY (CHIEF OPERATING OFFICER/DIRECTOR)
(910) 670-6317
Entity
Organization
Contact information
Practice address
7711 S RAEFORD RD, SUITE 102 #134, FAYETTEVILLE, NC 28304-5986
(910) 670-6317
(910) 493-3020
Mailing address
7711 S RAEFORD RD, SUITE 102 #134, FAYETTEVILLE, NC 28304-5986
(910) 670-6317
(910) 493-3020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/12/2012
Last updated
12/03/2019
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