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1144911967 NPI number — VERSATILE SOLUTIONS COUNSELING SERVICES, LLC

NPI Number: 1144911967
Health Care Provider/Practitioner: VERSATILE SOLUTIONS COUNSELING SERVICES, LLC

Information about “1144911967” NPI (VERSATILE SOLUTIONS COUNSELING SERVICES, LLC) exists in 1144911967 in HTML format HTML  |  1144911967 in plain Text format TXT  |  1144911967 in PDF (Portable Document Format) PDF  |  1144911967 in an XML format XML  formats.

NPI Number : 1144911967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144911967",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VERSATILE SOLUTIONS COUNSELING SERVICES, 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 64",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHULA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31733-0064",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-848-2512",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1601 CENTRAL AVE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TIFTON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31794-3411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-472-3653",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2023",
    "LastUpdateDate": "05/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOWARD",
    "AuthorizedOfficialFirstName": "LATOSHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO/THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "229-472-3653",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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