Organization
PLAYFULLEIGH PSYCHED, LLC
Active
Other names
PlayfulLeigh Psyched
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATRICE L DOWTIN PHD, LCPC, NCSP (MANAGING MEMBER, OWNER)
(202) 499-9188
Entity
Organization
Contact information
Practice address
2920 MERAMEC ST UNIT 26909, SAINT LOUIS, MO 63118-4462
(202) 838-7529
Mailing address
2920 MERAMEC ST UNIT 26909, SAINT LOUIS, MO 63118-4462
(202) 838-7529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC8553
MD
Other
Enumeration date
04/19/2018
Last updated
10/17/2023
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