Healthcare Provider Details

I. General information

NPI: 1134011059
Provider Name (Legal Business Name): PLAYGROUND OF LIFE PSYCHOTHERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 CLOVIS AVE STE 201
CLOVIS CA
93612-1115
US

IV. Provider business mailing address

PO BOX 1950
OAKHURST CA
93644-1950
US

V. Phone/Fax

Practice location:
  • Phone: 559-760-4341
  • Fax:
Mailing address:
  • Phone: 559-760-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON RESSLER
Title or Position: PRESIDENT/OWNER
Credential: LMFT
Phone: 559-760-4341