1124429527 NPI number — MAUDE LINE LOUIS M.ED., C.M.H.P.

NPI Number: 1124429527
Health Care Provider/Practitioner: MAUDE LINE LOUIS M.ED., C.M.H.P.

NPI Number : 1124429527 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124429527",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOUIS",
    "FirstName": "MAUDE",
    "MiddleName": "LINE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.ED., C.M.H.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ELIASSAINT",
    "OtherFirstName": "MAUDE",
    "OtherMiddleName": "LINE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.ED., C.M.H.P.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3432 MEADOW BREEZE LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCOEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34761-4479",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-209-2106",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3432 MEADOW BREEZE LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCOEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34761-4479",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-209-2106",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2014",
    "LastUpdateDate": "09/04/2014",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}