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1083469266 NPI number — MATTERS OF THE HEART AND MIND COUNSELING AND CONSULTING, PLLC

NPI Number: 1083469266
Health Care Provider/Practitioner: MATTERS OF THE HEART AND MIND COUNSELING AND CONSULTING, PLLC

Information about “1083469266” NPI (MATTERS OF THE HEART AND MIND COUNSELING AND CONSULTING, PLLC) exists in 1083469266 in HTML format HTML  |  1083469266 in plain Text format TXT  |  1083469266 in PDF (Portable Document Format) PDF  |  1083469266 in an XML format XML  formats.

NPI Number : 1083469266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083469266",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MATTERS OF THE HEART AND MIND COUNSELING AND CONSULTING, PLLC",
    "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": "732 MABLE SPAULDING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28472-7346",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-930-8563",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "732 MABLE SPAULDING RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28472-7346",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-930-8563",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2024",
    "LastUpdateDate": "04/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLARK",
    "AuthorizedOfficialFirstName": "CHANTE'",
    "AuthorizedOfficialMiddleName": "RENEE",
    "AuthorizedOfficialTitle": "ORGANIZER/OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "704-930-8563",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "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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