Kidzplay Community
NPI #1629578729 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1629578729
- Entity Type
- Organization
- Organization Name
- Kidzplay Community
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 15, 2018
- Last Updated
- Feb 15, 2018
Practice Location
- Address
- 1010 MONROE ST
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-2552
- Phone
- (910) 853-2184
Authorized Official
- Name
- MS. LATASHA BETHEA
- Title
- OWNER
- Phone
- (910) 853-2184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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