Play Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006900 Issued in GA

Legal business name

PLAY WELLNESS LLC

Practice address

3545 Broad St # 80742
Atlanta, GA 30341-2259

Phone

(770) 375-8124

NPI assigned

Dec 16, 2014

Last updated

Jun 17, 2016By 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

Dr. Yolanda Fountain, PHD, LPC, RPT-S, ACS

Title

Owner

Phone

(678) 871-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Y Fountain, PHD, LPC, RPT

  • Professional Counselor
  • Tucker, GA
  • NPI 1649683848
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1689072068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BROAD ST # 80742",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 BROAD ST # 80742",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412259",
            "telephone_number": "770-375-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-871-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, RPT-S, ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003155496A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Platner, M.D.
• Stuart Harley Platt, PT, MSPT
• Amanda Leigh Platz, AUD
• Stanford R. Plavin, MD
• Play Wellness Collective
• Playmatters, Inc. (PlayMatters)
• Plaza Enterprises LTD (Medicine Center Pharmacy)
• John Vincent Pleasant, R.N.
• Mia Pleasant, MS, BCBA
• Nathaniel Kearney Pleasant, MD

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.