{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANEW COUNSELING",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "50 LEANNI WAY UNIT B3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM COAST",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32137-4754",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-334-3777",
"MailingAddressFaxNumber": "386-283-5900",
"FirstLinePracticeLocationAddress": "50 LEANNI WAY UNIT B3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM COAST",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32137-4754",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-334-3777",
"PracticeLocationAddressFaxNumber": "386-283-5900",
"EnumerationDate": "09/11/2012",
"LastUpdateDate": "09/11/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUELSEREN",
"AuthorizedOfficialFirstName": "SIBEL",
"AuthorizedOfficialMiddleName": "NESLIN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.ED./ED.S",
"AuthorizedOfficialTelephoneNumber": "386-334-3777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MT2120",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}