Healthcare Provider Details

I. General information

NPI: 1396204012
Provider Name (Legal Business Name): PLAY THERAPY OF THE PINES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2019
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1579 RAYS BRIDGE RD
WHISPERING PINES NC
28327-8917
US

IV. Provider business mailing address

1579 RAYS BRIDGE RD
WHISPERING PINES NC
28327-8917
US

V. Phone/Fax

Practice location:
  • Phone: 910-965-1128
  • Fax:
Mailing address:
  • Phone: 910-965-1128
  • 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: MEGAN KATHRYN NUMBERS
Title or Position: OWNER
Credential: PHD, LCMHC, RPT-S
Phone: 910-965-1128