{
"Npi": {
"NPI": "1073933479",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NUDAWN LLC",
"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": "1610 14TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORANGE CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32763-3116",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-561-7757",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1610 14TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGE CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32763-3116",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-379-2829",
"PracticeLocationAddressFaxNumber": "352-379-2843",
"EnumerationDate": "04/24/2014",
"LastUpdateDate": "04/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BILLINGS",
"AuthorizedOfficialFirstName": "MARGARET",
"AuthorizedOfficialMiddleName": "DAWN",
"AuthorizedOfficialTitle": "THERAPIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "386-561-7757",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH9640",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}