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Organization

WELLSPACE PLAY THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FELICIA POWELL ALC (OWNER)
(256) 348-3297
Entity
Organization

Contact information

Practice address
604 DAVIS CIR SW, HUNTSVILLE, AL 35801-5014
(256) 348-3297
Mailing address
103 CARILLO LN, TONEY, AL 35773-5729
(256) 348-3297

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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