Healthcare Provider Details

I. General information

NPI: 1972447746
Provider Name (Legal Business Name): PLAY ALL DAY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 PANORAMA DR
MOSCOW ID
83843-9646
US

IV. Provider business mailing address

703 PANORAMA DR
MOSCOW ID
83843-9646
US

V. Phone/Fax

Practice location:
  • Phone: 509-481-5374
  • Fax:
Mailing address:
  • Phone: 509-481-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEVIN RIFFEL
Title or Position: OWNER
Credential: LMHC, LCPC, CMHS
Phone: 509-481-5374