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1114527538 NPI number — GENA GAIL TAYLOR-TIDWELL LPCC

NPI Number: 1114527538
Health Care Provider/Practitioner: GENA GAIL TAYLOR-TIDWELL LPCC

Information about “1114527538” NPI (GENA GAIL TAYLOR-TIDWELL LPCC) exists in 1114527538 in HTML format HTML  |  1114527538 in plain Text format TXT  |  1114527538 in PDF (Portable Document Format) PDF  |  1114527538 in an XML format XML  formats.

NPI Number : 1114527538 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114527538",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR-TIDWELL",
    "FirstName": "GENA",
    "MiddleName": "GAIL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "312 S 4TH ST STE 700",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40202-3046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-469-5321",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "312 S 4TH ST STE 700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40202-3046",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-469-5321",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2020",
    "LastUpdateDate": "03/17/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "291481",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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