NPI Code Details Logo

NPI 1629982046

NPI 1629982046 : CREATE, PLAY, AND HEAL, LLC : PITTSBURGH, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629982046
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CREATE, PLAY, AND HEAL, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2026
-----------------------------------------------------
    Last Update Date     |    10/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    300 MOUNT LEBANON BLVD STE 205E 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15234-1512
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-480-4150
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3102 VERNON AVE 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15227-4229
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-480-4150
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PROFESSIONAL COUNSELOR
-----------------------------------------------------
    Name                 |     BREINNE MARIE REGAN 
-----------------------------------------------------
    Credential           |    LPC
-----------------------------------------------------
    Telephone            |    412-480-4150
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

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