Provider Demographics
NPI:1447890082
Name:PAWS AND PLAY LLC
Entity type:Organization
Organization Name:PAWS AND PLAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-448-9811
Mailing Address - Street 1:205 PARKER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3620
Mailing Address - Country:US
Mailing Address - Phone:717-448-9811
Mailing Address - Fax:
Practice Address - Street 1:20A BEECH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3105
Practice Address - Country:US
Practice Address - Phone:717-448-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty