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1033613401 NPI number — LIGHTSEY EDUCATION

NPI Number: 1033613401
Health Care Provider/Practitioner: LIGHTSEY EDUCATION

Information about “1033613401” NPI (LIGHTSEY EDUCATION) exists in 1033613401 in HTML format HTML  |  1033613401 in plain Text format TXT  |  1033613401 in PDF (Portable Document Format) PDF  |  1033613401 in an XML format XML  formats.

NPI Number : 1033613401 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033613401",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIGHTSEY EDUCATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1836 BERWICK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75203-4304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-203-0404",
    "MailingAddressFaxNumber": "469-466-6145",
    "FirstLinePracticeLocationAddress": "2826 PROSPERITY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75216-4721",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-203-0404",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2018",
    "LastUpdateDate": "03/21/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIGHTSEY",
    "AuthorizedOfficialFirstName": "KATHY",
    "AuthorizedOfficialMiddleName": "RENEE",
    "AuthorizedOfficialTitle": "COUNSELOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCDC",
    "AuthorizedOfficialTelephoneNumber": "469-230-0404",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "13277",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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