OrganizationLive, Breathe & Play Therapy, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address954 Eastport Centre Dr Ste B, Valparaiso, IN 46383-4456(219) 286-6482PECOS EnrollmentBased on the most recent information from CMS, provider Live, Breathe & Play Therapy, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1083133656Provider TypeOrganizationFull NameLive, Breathe & Play Therapy, LlcSubpartNoEnumeration Date9/14/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address954 Eastport Centre Dr Ste B, Valparaiso, IN 46383-4456Phone(219) 286-6482Fax(219) 286-7367Mailing LocationMailing Address954 Eastport Centre Dr Ste B, Valparaiso, IN 46383-4456Phone(219) 286-6482Fax(219) 286-7367Authorized OfficialNameBurkhardt, Diane Kay (Owner)Phone(260) 519-1234Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39001475AIndiana