Healthcare Provider Details

I. General information

NPI: 1780200717
Provider Name (Legal Business Name): LET'S PLAY THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7626 SPANISH FORT BLVD
SPANISH FORT AL
36527-5376
US

IV. Provider business mailing address

7626 SPANISH FORT BLVD
SPANISH FORT AL
36527-5376
US

V. Phone/Fax

Practice location:
  • Phone: 251-929-4848
  • Fax: 251-850-5080
Mailing address:
  • Phone: 251-929-4848
  • Fax: 251-850-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: FRANCES BYRNES CLARK
Title or Position: CEO
Credential: MS CCC-SLP
Phone: 251-929-4848