NPI Code Details Logo

NPI 1447118955

NPI 1447118955 : PLAYFUL JOURNEYS LLC : DODGE CITY, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447118955
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PLAYFUL JOURNEYS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/13/2026
-----------------------------------------------------
    Last Update Date     |    01/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    614 N 2ND AVE 
-----------------------------------------------------
    City                 |    DODGE CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67801-4440
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    620-385-0427
-----------------------------------------------------
    Fax                  |    620-390-2381
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 420 
-----------------------------------------------------
    City                 |    SATANTA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67870-0420
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    620-385-0427
-----------------------------------------------------
    Fax                  |    620-390-2381
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MENTAL HEALTH THERAPIST
-----------------------------------------------------
    Name                 |     SHANNON  LUNZMANN 
-----------------------------------------------------
    Credential           |    LSCSW
-----------------------------------------------------
    Telephone            |    620-385-0427
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.