Healthcare Provider Details

I. General information

NPI: 1720941826
Provider Name (Legal Business Name): CREATIVE PLAY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2553 W 76TH ST APT 211
HIALEAH FL
33016-5682
US

IV. Provider business mailing address

2553 W 76TH ST APT 211
HIALEAH FL
33016-5682
US

V. Phone/Fax

Practice location:
  • Phone: 786-419-8386
  • Fax:
Mailing address:
  • Phone: 786-419-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ANITA KAY
Title or Position: OWNER
Credential:
Phone: 786-419-8386