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1235357146 NPI number — KRISTINA COBB DAVIES LPCC-S

NPI Number: 1235357146
Health Care Provider/Practitioner: KRISTINA COBB DAVIES LPCC-S

Information about “1235357146” NPI (KRISTINA COBB DAVIES LPCC-S) exists in 1235357146 in HTML format HTML  |  1235357146 in plain Text format TXT  |  1235357146 in PDF (Portable Document Format) PDF  |  1235357146 in an XML format XML  formats.

NPI Number : 1235357146 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235357146",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIES",
    "FirstName": "KRISTINA",
    "MiddleName": "COBB",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPCC-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COBB",
    "OtherFirstName": "KRISTINA",
    "OtherMiddleName": "JOYCE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MED/ BS, MHA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "230 KNOX ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARBOURVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40906-1428",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-219-4676",
    "MailingAddressFaxNumber": "606-896-2080",
    "FirstLinePracticeLocationAddress": "142 BLACK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARBOURVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40906-1483",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-219-4676",
    "PracticeLocationAddressFaxNumber": "606-896-2080",
    "EnumerationDate": "04/23/2007",
    "LastUpdateDate": "01/26/2026",
    "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": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "102103",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "1279",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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