Healthcare Provider Details

I. General information

NPI: 1861143265
Provider Name (Legal Business Name): THINK PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 WILKINSON AVE
STUDIO CITY CA
91604-2427
US

IV. Provider business mailing address

4804 LAUREL CANYON BLVD UNIT 1151
VALLEY VILLAGE CA
91607-3717
US

V. Phone/Fax

Practice location:
  • Phone: 818-568-2872
  • Fax:
Mailing address:
  • Phone: 818-568-2872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALIE MADDISON
Title or Position: FOUNDER
Credential: PHD, MS, DIR
Phone: 818-568-2872