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1053026146 NPI number — ROCK HILL THERAPY

NPI Number: 1053026146
Health Care Provider/Practitioner: ROCK HILL THERAPY

Information about “1053026146” NPI (ROCK HILL THERAPY) exists in 1053026146 in HTML format HTML  |  1053026146 in plain Text format TXT  |  1053026146 in PDF (Portable Document Format) PDF  |  1053026146 in an XML format XML  formats.

NPI Number : 1053026146 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053026146",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROCK HILL THERAPY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1735 HECKLE BLVD. SUITE 103 PMB 295",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCK HILL",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-299-1814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2505 BULLFROG LANE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-299-1814",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2023",
    "LastUpdateDate": "01/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELLIOTT",
    "AuthorizedOfficialFirstName": "AMY",
    "AuthorizedOfficialMiddleName": "ELYSE",
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "704-299-1814",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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