MEDICARE: WAYS OF PLAY COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093483109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYS OF PLAY COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	5377 STATE HWY N
Second Line	:	SUITE 365
City	:	COTTLEVILLE
State	:	MO
Zip	:	63304
Country	:	US
Telephone Number	:	636-344-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 KISKER RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63304-0602
Country	:	US
Telephone Number	:	636-344-0580
Fax Number	:	636-206-2486

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE BONNER-HORON
Credential	:
Telephone Number	:	618-292-5957

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	06/14/2026

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Directions to “WAYS OF PLAY COUNSELING SERVICES ” Practice Location

Language	Start Address	Practice Location

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