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1194653147 NPI number — HEATHER TAYLOR-LIVELY

NPI Number: 1194653147
Health Care Provider/Practitioner: HEATHER TAYLOR-LIVELY

Information about “1194653147” NPI (HEATHER TAYLOR-LIVELY) exists in 1194653147 in HTML format HTML  |  1194653147 in plain Text format TXT  |  1194653147 in PDF (Portable Document Format) PDF  |  1194653147 in an XML format XML  formats.

NPI Number : 1194653147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194653147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR-LIVELY",
    "FirstName": "HEATHER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAYLOR",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14320 VENTURA BLVD # 816",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHERMAN OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91423-2717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "615 STATE ST UNIT B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA BARBARA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93101-3301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-620-7096",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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