Provider Demographics
NPI:1730870825
Name:WELL PLAYED FAMILY THERAPY PLLC
Entity type:Organization
Organization Name:WELL PLAYED FAMILY THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOGRIP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:512-693-9434
Mailing Address - Street 1:13706 RESEARCH BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1838
Mailing Address - Country:US
Mailing Address - Phone:512-692-6236
Mailing Address - Fax:
Practice Address - Street 1:1930 RAWHIDE DR STE 310
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6954
Practice Address - Country:US
Practice Address - Phone:512-692-6236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty