1013229913 NPI number — FRANCIE ELAINE HARTSOG-DOLACK M.A., L.P.C.

NPI Number: 1013229913
Health Care Provider/Practitioner: FRANCIE ELAINE HARTSOG-DOLACK M.A., L.P.C.

NPI Number : 1013229913 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013229913",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARTSOG-DOLACK",
    "FirstName": "FRANCIE",
    "MiddleName": "ELAINE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A., L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15850 KISER CORNER LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAVIDSON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28036-7416",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-724-3525",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15905 BROOKWAY DR STE 4101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTERSVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28078-3240",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-960-2632",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2010",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "7907",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "7907",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}