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Active NPI 1649008475 Organization (Entity Type 2)

Playhouse Collaborative

Counselor - Mental Health • Weldon Spring, MO

About Playhouse Collaborative NPI 1649008475 Summary

Playhouse Collaborative is a verified healthcare organization specializing in Counselor - Mental Health operating in Weldon Spring, MO. Located at 500 HUBER PARK CT STE 106, this facility provides patient care and medical services under National Provider Identifier (NPI) 1649008475.

Administrative operations and authorized compliance are overseen by Marie Bonner-Horon (Co-Founder).

Facility Location & Contact Primary Location

Facility Address

500 Huber Park Ct Ste 106

Weldon Spring, MO 633048683

Telephone 6363440580

Authorized Official Information

Authorized Contact Name

Marie Bonner-Horon , LPC, NCC, RPT-S, ACS

Title / Role

Co-Founder

Official Telephone

6182925957

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 23, 2024

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2024

Registered at 500 HUBER PARK CT STE 106, WELDON SPRING, MO 633048683 (Tel: 6363440580)

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Updated Business Mailing Address July 23, 2024

Registered at 500 HUBER PARK CT STE 106, WELDON SPRING, MO 633048683 (Tel: 6363440580)

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Organization / Clinic Name Updated July 23, 2024

Operating as PLAYHOUSE COLLABORATIVE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Counselor

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Initial NPI Registration & Enumeration July 23, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1649008475

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 23, 2024

Last Update: July 23, 2024

Update or Correct Listing

Mailing Address

500 Huber Park Ct Ste 106

Weldon Spring, MO 633048683

Phone: 6363440580

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.