Go Play Therapy Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GO PLAY THERAPY CENTER, LLC

Practice address

2804 Greenhill Blvd NW
Fort Payne, AL 35968-3066

Phone

(256) 979-1222

Fax

(256) 979-1223

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Silvia Hernandez

Title

Owner/ Manager

Phone

(256) 979-1222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1962890376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COUNTY ROAD 100",
            "city": "FYFFE",
            "state": "AL",
            "postal_code": "359715161",
            "telephone_number": "265-979-1222",
            "fax_number": "256-979-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GREENHILL BLVD NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683066",
            "telephone_number": "256-979-1222",
            "fax_number": "256-979-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO PLAY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "256-979-1222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyza Tennille Gaines, CRNP
• Justin Matthew Garmany, RPH
• Sarah Baine Genelin
• General Dentistry and Same Day Denture Clinic,LLC
• Susan M Gibson, MD
• Go Play Therapy, L.L.C.
• Lisa Diane Goldman, P.T., DPT
• Anna Gorham, FNP-C, PMHNP-C
• Joleen Wiener Gorman, MD
• Gorman'S Medical Services, LLC

• Specialist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.