NPI Code Detail JSON Logo

1144018409 NPI number — INTO ACTION BEHAVIORAL HEALTH LLC

NPI Number: 1144018409
Health Care Provider/Practitioner: INTO ACTION BEHAVIORAL HEALTH LLC

Information about “1144018409” NPI (INTO ACTION BEHAVIORAL HEALTH LLC) exists in 1144018409 in HTML format HTML  |  1144018409 in plain Text format TXT  |  1144018409 in PDF (Portable Document Format) PDF  |  1144018409 in an XML format XML  formats.

NPI Number : 1144018409 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144018409",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "I.A.R.C.",
    "ParentOrgTIN": null,
    "OrgName": "INTO ACTION BEHAVIORAL HEALTH 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": "4056 HERSHBERGER RD NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROANOKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24017-2122",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "708 5TH ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24016-3912",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-354-6282",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/28/2025",
    "LastUpdateDate": "04/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEONARD",
    "AuthorizedOfficialFirstName": "SHANE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "713-560-1223",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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