Provider Demographics
NPI:1285089532
Name:LOTS OF LOVE PLAY THERAPY
Entity type:Organization
Organization Name:LOTS OF LOVE PLAY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONDRA
Authorized Official - Middle Name:DOROTHEA
Authorized Official - Last Name:DILLARD-COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-257-4006
Mailing Address - Street 1:135 UTAH ST
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-8951
Mailing Address - Country:US
Mailing Address - Phone:910-257-4006
Mailing Address - Fax:910-875-2357
Practice Address - Street 1:135 UTAH ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-8951
Practice Address - Country:US
Practice Address - Phone:910-257-4006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-24
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health