Baton Rouge Play Therapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

00912662 Issued in LA

Legal business name

BATON ROUGE PLAY THERAPY, LLC

Practice address

3535 S Sherwood Forest Blvd
Suite 201
Baton Rouge, LA 70816-2255

Phone

(225) 308-1735

NPI assigned

Jun 18, 2013

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karen Marie Swanson Taheri, LPC, NCC

Title

Director/Manager

Phone

(225) 308-1735

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1396184883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 JEFFERSON HWY APT 2204",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068178",
            "telephone_number": "225-308-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162255",
            "telephone_number": "225-308-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE SWANSON",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "225-308-1735",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "00912662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.