Provider Demographics
NPI:1538849609
Name:VALLEY PLAY THERAPY
Entity type:Organization
Organization Name:VALLEY PLAY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ALANNA
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC, LPC, RPT-S
Authorized Official - Phone:484-371-5127
Mailing Address - Street 1:2825 MOSSER ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-2822
Mailing Address - Country:US
Mailing Address - Phone:484-391-5127
Mailing Address - Fax:
Practice Address - Street 1:1405 N CEDAR CREST BLVD STE 115
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2308
Practice Address - Country:US
Practice Address - Phone:484-371-5127
Practice Address - Fax:484-207-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty