Well-Play Therapy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

P1402014 Issued in AR

Legal business name

WELL-PLAY THERAPY

Practice address

3102 SE J St
Bentonville, AR 72712-3796

Phone

(479) 308-8338

NPI assigned

Dec 30, 2016

Last updated

Dec 30, 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

Richard Lee Eller

Title

Owner

Phone

(479) 308-8338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1881139772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123796",
            "telephone_number": "479-308-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123796",
            "telephone_number": "479-308-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-308-8338"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AR",
            "license": "P1402014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy M Welch
• Shino Welch, M.A., BCBA
• Weldon Gene Murry PLLC
• Nealee Morgan Weldon, PHARMD
• Audrey Welhoff
• Dina Marie Wells, APRN
• Joseph Robert Wells, DO
• Jazmin L Wentz
• James Alan West, ATC, CSCS
• Linda Kay West, ANP

• Adolescent and Children Mental Health Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Adolescent and Children Mental Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.