NPI Code Detail JSON Logo

1104503135 NPI number — HIS STRENGTH CHRISTIAN COUNSELING LLC

NPI Number: 1104503135
Health Care Provider/Practitioner: HIS STRENGTH CHRISTIAN COUNSELING LLC

Information about “1104503135” NPI (HIS STRENGTH CHRISTIAN COUNSELING LLC) exists in 1104503135 in HTML format HTML  |  1104503135 in plain Text format TXT  |  1104503135 in PDF (Portable Document Format) PDF  |  1104503135 in an XML format XML  formats.

NPI Number : 1104503135 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104503135",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HIS STRENGTH CHRISTIAN COUNSELING 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": "PO BOX 85",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43083-0085",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-875-6795",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4194 W US HIGHWAY 36",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "URBANA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43078-9663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-875-6795",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2023",
    "LastUpdateDate": "12/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ERVIN",
    "AuthorizedOfficialFirstName": "KATHLEEN",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "CLINICAL COUNSELOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MED, LSW, LPCC-S",
    "AuthorizedOfficialTelephoneNumber": "937-750-5700",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.