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General NPI Number Information
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NPI Number | 1972303725
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Entity Type | Organization
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Legal Business Name | PLAYFUL MINDS THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2117 STATE ST STE 250
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City | BETTENDORF
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State | IA
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Zip | 52722-5164
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Country | US
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Telephone | 563-649-4129
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Fax |
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Provider Business Mailing Address
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Address Line | 604 2ND AVE
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City | SILVIS
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State | IL
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Zip | 61282-1101
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Country | US
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Telephone | 563-279-4682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE BASS
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Credential | LISW
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Telephone | 563-279-4682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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