| Organization Name: | PLAY 4 GOODNESS SAKE, LLC |
| NPI Number: | 1053568741 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMIE BARRETT (CLINICAL DIRECTOR) |
| Mailing Address: | 706 Santa Cruz Ln. Howey In The Hills |
| State: | FL US |
| Postal Code: | 34737 |
| Phone Number: | 3529786156 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2008 |
| NPI Last Update Date: | 08/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 8878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |