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1225831670 NPI number — GUIDED LIFE THERAPEUTICS

NPI Number: 1225831670
Health Care Provider/Practitioner: GUIDED LIFE THERAPEUTICS

Information about “1225831670” NPI (GUIDED LIFE THERAPEUTICS) exists in 1225831670 in HTML format HTML  |  1225831670 in plain Text format TXT  |  1225831670 in PDF (Portable Document Format) PDF  |  1225831670 in an XML format XML  formats.

NPI Number : 1225831670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225831670",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GUIDED LIFE THERAPEUTICS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "600 N EUCLID AVE STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UPLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91786-4779",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "747-218-1622",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "600 N EUCLID AVE STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UPLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91786-4779",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "747-218-1622",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2025",
    "LastUpdateDate": "03/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOULWARE",
    "AuthorizedOfficialFirstName": "KATHERINE",
    "AuthorizedOfficialMiddleName": "CAROLE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "626-506-6265",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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