Organization
SPIRITPLAY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ANN LANGREDER MA, LPC, NCC (OWNER)
(623) 332-6150
Entity
Organization
Contact information
Practice address
12211 W BELL RD STE 109, SURPRISE, AZ 85378-9655
(623) 972-5900
(623) 972-5919
Mailing address
12211 W BELL RD STE 109, SURPRISE, AZ 85378-9655
(623) 972-5900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC10833
AZ
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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