Provider Demographics
NPI:1972303725
Name:PLAYFUL MINDS THERAPEUTIC SERVICES PLLC
Entity type:Organization
Organization Name:PLAYFUL MINDS THERAPEUTIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:563-279-4682
Mailing Address - Street 1:604 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SILVIS
Mailing Address - State:IL
Mailing Address - Zip Code:61282-1101
Mailing Address - Country:US
Mailing Address - Phone:563-279-4682
Mailing Address - Fax:
Practice Address - Street 1:2117 STATE ST STE 250
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-5164
Practice Address - Country:US
Practice Address - Phone:563-649-4129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA111306OtherLISW
IL150.106722OtherLSW