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1083951271 NPI number — JULIANN RUTH BURKS LMFT

NPI Number: 1083951271
Health Care Provider/Practitioner: JULIANN RUTH BURKS LMFT

Information about “1083951271” NPI (JULIANN RUTH BURKS LMFT) exists in 1083951271 in HTML format HTML  |  1083951271 in plain Text format TXT  |  1083951271 in PDF (Portable Document Format) PDF  |  1083951271 in an XML format XML  formats.

NPI Number : 1083951271 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083951271",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURKS",
    "FirstName": "JULIANN",
    "MiddleName": "RUTH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "284 EXECUTIVE PARK DR",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28025",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-939-1100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "214 E MOUNTCASTLE DR STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSON CITY",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37601-2509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-283-4958",
    "PracticeLocationAddressFaxNumber": "423-283-3715",
    "EnumerationDate": "01/09/2013",
    "LastUpdateDate": "12/20/2019",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "101Y00000X",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "1623",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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