Healthcare Provider Details

I. General information

NPI: 1124700851
Provider Name (Legal Business Name): HAPPY PLAY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6191 ORANGE DR STE 6181P
DAVIE FL
33314-3457
US

IV. Provider business mailing address

6191 ORANGE DR STE 6181P
DAVIE FL
33314-3457
US

V. Phone/Fax

Practice location:
  • Phone: 954-800-4078
  • Fax: 954-369-1444
Mailing address:
  • Phone: 954-800-4078
  • Fax: 954-369-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. GISELLE MARIA LA ROSA
Title or Position: OWNER
Credential: M.S., CCC-SLP, CAS
Phone: 954-800-4078