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1205250230 NPI number — ALISHA STAPOR LPC, NCC, LLMFT

NPI Number: 1205250230
Health Care Provider/Practitioner: ALISHA STAPOR LPC, NCC, LLMFT

Information about “1205250230” NPI (ALISHA STAPOR LPC, NCC, LLMFT) exists in 1205250230 in HTML format HTML  |  1205250230 in plain Text format TXT  |  1205250230 in PDF (Portable Document Format) PDF  |  1205250230 in an XML format XML  formats.

NPI Number : 1205250230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205250230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STAPOR",
    "FirstName": "ALISHA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPC, NCC, LLMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THOMPSON",
    "OtherFirstName": "ALISHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC, NCC, LLMFT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 111",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIAN RIVER",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49749-0111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-238-2172",
    "MailingAddressFaxNumber": "231-238-2173",
    "FirstLinePracticeLocationAddress": "4071 S STRAITS HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIAN RIVER",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49749-8407",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-238-2172",
    "PracticeLocationAddressFaxNumber": "231-238-2173",
    "EnumerationDate": "02/11/2014",
    "LastUpdateDate": "09/29/2015",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "6401013049",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "4101006600",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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