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1164792735 NPI number — ZANETA WILLIS LAPC

NPI Number: 1164792735
Health Care Provider/Practitioner: ZANETA WILLIS LAPC

Information about “1164792735” NPI (ZANETA WILLIS LAPC) exists in 1164792735 in HTML format HTML  |  1164792735 in plain Text format TXT  |  1164792735 in PDF (Portable Document Format) PDF  |  1164792735 in an XML format XML  formats.

NPI Number : 1164792735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164792735",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIS",
    "FirstName": "ZANETA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PENN",
    "OtherFirstName": "ZANETA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, EDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2972 HAPEVILLE RD SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30354-2008",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "478-320-8014",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3590 COVINGTON HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30032-1850",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-687-9188",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/12/2012",
    "LastUpdateDate": "01/12/2012",
    "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": "APC003228",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "APC003228",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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