| Live, Breathe & Play Therapy, Llc | |
|
954 Eastport Centre Dr Ste B Valparaiso IN 46383-4456 | |
| (219) 286-6482 | |
| (219) 286-7367 |
| Full Name | Live, Breathe & Play Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 954 Eastport Centre Dr Ste B, Valparaiso, Indiana |
| Authorized Official Name and Position | Diane Kay Burkhardt (OWNER) |
| Authorized Official Contact | 2605191234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live, Breathe & Play Therapy, Llc 954 Eastport Centre Dr Ste B Valparaiso IN 46383-4456 Ph: (219) 286-6482 | Live, Breathe & Play Therapy, Llc 954 Eastport Centre Dr Ste B Valparaiso IN 46383-4456 Ph: (219) 286-6482 |
| NPI Number | 1083133656 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083133656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39001475A (Indiana) | Primary |
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