{
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"IsOrgSubpart": "N",
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"OrgName": "PREMIER COUNSELING SERVICES INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "318 S WELBORN STREET",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "HINESVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31313",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-332-5145",
"MailingAddressFaxNumber": "912-480-9732",
"FirstLinePracticeLocationAddress": "318 S WELBORN ST",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "HINESVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31313-3127",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-332-5145",
"PracticeLocationAddressFaxNumber": "912-480-9732",
"EnumerationDate": "03/27/2013",
"LastUpdateDate": "01/25/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAUGHTERY",
"AuthorizedOfficialFirstName": "GLORIA",
"AuthorizedOfficialMiddleName": "HARRIS",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "912-332-5145",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "LPC005336",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}