{
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"IsOrgSubpart": "N",
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"OrgName": "NEW HORIZONS COUNSELING SERVICES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3915 R N SHERIDAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEORIA",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61614-7135",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "309-681-9432",
"MailingAddressFaxNumber": "309-681-9164",
"FirstLinePracticeLocationAddress": "3915 N SHERIDAN RD UNIT R",
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"PracticeLocationAddressCityName": "PEORIA",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "309-681-9432",
"PracticeLocationAddressFaxNumber": "309-681-9164",
"EnumerationDate": "11/15/2007",
"LastUpdateDate": "09/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PHILLIPS",
"AuthorizedOfficialFirstName": "JIMMY",
"AuthorizedOfficialMiddleName": "LOUIS",
"AuthorizedOfficialTitle": "FOUNDER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCPC",
"AuthorizedOfficialTelephoneNumber": "309-681-9432",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "180000228",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}