Provider Demographics
NPI:1487419610
Name:PLAY ON WORDS THERAPY CONNECTIONS OF NC LLC
Entity type:Organization
Organization Name:PLAY ON WORDS THERAPY CONNECTIONS OF NC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTOPASSI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:941-587-4919
Mailing Address - Street 1:96 LAUREL RDG
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-5707
Mailing Address - Country:US
Mailing Address - Phone:941-587-4919
Mailing Address - Fax:
Practice Address - Street 1:96 LAUREL RDG
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-5707
Practice Address - Country:US
Practice Address - Phone:941-587-4919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty