Provider Demographics
NPI:1154036440
Name:HEALING PLAY PLLC
Entity type:Organization
Organization Name:HEALING PLAY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANJER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-942-8872
Mailing Address - Street 1:404 BRADLEY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4500
Mailing Address - Country:US
Mailing Address - Phone:509-942-8872
Mailing Address - Fax:509-215-7350
Practice Address - Street 1:404 BRADLEY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4500
Practice Address - Country:US
Practice Address - Phone:509-942-8872
Practice Address - Fax:509-215-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2175261Medicaid