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1013747799 NPI number — MINDY E MILLINGTON M.ED., LMT

NPI Number: 1013747799
Health Care Provider/Practitioner: MINDY E MILLINGTON M.ED., LMT

Information about “1013747799” NPI (MINDY E MILLINGTON M.ED., LMT) exists in 1013747799 in HTML format HTML  |  1013747799 in plain Text format TXT  |  1013747799 in PDF (Portable Document Format) PDF  |  1013747799 in an XML format XML  formats.

NPI Number : 1013747799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013747799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLINGTON",
    "FirstName": "MINDY",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED., LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HIGGINBOTHAM",
    "OtherFirstName": "MINDY",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1010 N TENNESSEE ST STE 214",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARTERSVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30120-8528",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-227-1669",
    "MailingAddressFaxNumber": "305-890-2721",
    "FirstLinePracticeLocationAddress": "1010 N TENNESSEE ST STE 214",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARTERSVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30120-8528",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-227-1669",
    "PracticeLocationAddressFaxNumber": "305-890-2721",
    "EnumerationDate": "08/06/2024",
    "LastUpdateDate": "08/07/2024",
    "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": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "MT003309",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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