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1164686416 NPI number — LISA GARRETT FARHAT M.ED, LPC, RPT

NPI Number: 1164686416
Health Care Provider/Practitioner: LISA GARRETT FARHAT M.ED, LPC, RPT

Information about “1164686416” NPI (LISA GARRETT FARHAT M.ED, LPC, RPT) exists in 1164686416 in HTML format HTML  |  1164686416 in plain Text format TXT  |  1164686416 in PDF (Portable Document Format) PDF  |  1164686416 in an XML format XML  formats.

NPI Number : 1164686416 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164686416",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FARHAT",
    "FirstName": "LISA",
    "MiddleName": "GARRETT",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.ED, LPC, RPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARRETT",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "REE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "LPC-1",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "103 ABBY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEATHERFORD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76086-4713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-229-7900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4150 INTERNATIONAL PLZ",
    "SecondLinePracticeLocationAddress": "SUITE 600",
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76109-4892",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-229-7900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2008",
    "LastUpdateDate": "01/13/2011",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "20098",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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