Provider Demographics
NPI:1992289946
Name:JOYFUL HEARTS PLAY THERAPY & COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:JOYFUL HEARTS PLAY THERAPY & COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, RPT, NCC
Authorized Official - Phone:346-291-5694
Mailing Address - Street 1:2219 SAWDUST RD STE 1003
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2580
Mailing Address - Country:US
Mailing Address - Phone:346-291-5694
Mailing Address - Fax:
Practice Address - Street 1:2219 SAWDUST RD STE 1003
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2580
Practice Address - Country:US
Practice Address - Phone:346-291-5694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty