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General NPI Number Information
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NPI Number | 1851059828
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Entity Type | Organization
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Legal Business Name | LAUGHING HEART PLAY THERAPY LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2820 WALTON COMMONS LN STE 125
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City | MADISON
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State | WI
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Zip | 53718-8814
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Country | US
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Telephone | 608-571-3019
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 WALTON COMMONS LN STE 125
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City | MADISON
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State | WI
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Zip | 53718-8814
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Country | US
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Telephone | 608-571-3019
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | JENNIFER HECTOR
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Credential | LMFT
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Telephone | 510-759-6221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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