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General NPI Number Information
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NPI Number | 1932845690
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Entity Type | Organization
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Legal Business Name | KIDS PLAY THERAPY
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1218 STONE ST STE 140
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City | JONESBORO
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State | AR
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Zip | 72401-4568
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Country | US
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Telephone | 870-530-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 STONE ST STE 140
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City | JONESBORO
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State | AR
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Zip | 72401-4568
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Country | US
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Telephone | 870-530-3100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA CULVER
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Credential |
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Telephone | 870-530-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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