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1164148995 NPI number — CROWDER FAMILY COUNSELING & THERAPY SERVICES INC

NPI Number: 1164148995
Health Care Provider/Practitioner: CROWDER FAMILY COUNSELING & THERAPY SERVICES INC

Information about “1164148995” NPI (CROWDER FAMILY COUNSELING & THERAPY SERVICES INC) exists in 1164148995 in HTML format HTML  |  1164148995 in plain Text format TXT  |  1164148995 in PDF (Portable Document Format) PDF  |  1164148995 in an XML format XML  formats.

NPI Number : 1164148995 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164148995",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CROWDER FAMILY COUNSELING & THERAPY SERVICES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3070 CANYON VISTA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92324-9770",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-653-0703",
    "MailingAddressFaxNumber": "888-245-9901",
    "FirstLinePracticeLocationAddress": "3070 CANYON VISTA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92324-9770",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-653-0703",
    "PracticeLocationAddressFaxNumber": "888-245-9901",
    "EnumerationDate": "10/13/2022",
    "LastUpdateDate": "06/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CROWDER",
    "AuthorizedOfficialFirstName": "LUCILLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LMFT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "909-653-0703",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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