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1053804252 NPI number — ENID MAHASIN ALI REED LLPC

NPI Number: 1053804252
Health Care Provider/Practitioner: ENID MAHASIN ALI REED LLPC

Information about “1053804252” NPI (ENID MAHASIN ALI REED LLPC) exists in 1053804252 in HTML format HTML  |  1053804252 in plain Text format TXT  |  1053804252 in PDF (Portable Document Format) PDF  |  1053804252 in an XML format XML  formats.

NPI Number : 1053804252 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053804252",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALI REED",
    "FirstName": "ENID",
    "MiddleName": "MAHASIN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LLPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REED",
    "OtherFirstName": "ENID",
    "OtherMiddleName": "MAHASIN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "23525 VALLEY VIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48033-3153",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-443-4721",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "29556 SOUTHFIELD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48076-2021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-595-7410",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2018",
    "LastUpdateDate": "06/12/2018",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "6401016340",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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