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1053443515 NPI number — MARTHA JOAN WENT LPC

NPI Number: 1053443515
Health Care Provider/Practitioner: MARTHA JOAN WENT LPC

Information about “1053443515” NPI (MARTHA JOAN WENT LPC) exists in 1053443515 in HTML format HTML  |  1053443515 in plain Text format TXT  |  1053443515 in PDF (Portable Document Format) PDF  |  1053443515 in an XML format XML  formats.

NPI Number : 1053443515 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053443515",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WENT",
    "FirstName": "MARTHA",
    "MiddleName": "JOAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "31007 EXECUTIVE PT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEGA CAY",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29708-8503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-802-3670",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "501 BILLINGSLEY RD",
    "SecondLinePracticeLocationAddress": "COTTAGE E - ADULT PARTIAL HOSPITALIZATION",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28211-1009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-444-2518",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/11/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "5050",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "4794",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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