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1255065231 NPI number — LIGHTHOUSE BEACON CHURCH BEACON INSTITUTE

NPI Number: 1255065231
Health Care Provider/Practitioner: LIGHTHOUSE BEACON CHURCH BEACON INSTITUTE

Information about “1255065231” NPI (LIGHTHOUSE BEACON CHURCH BEACON INSTITUTE) exists in 1255065231 in HTML format HTML  |  1255065231 in plain Text format TXT  |  1255065231 in PDF (Portable Document Format) PDF  |  1255065231 in an XML format XML  formats.

NPI Number : 1255065231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255065231",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIGHTHOUSE BEACON CHURCH BEACON INSTITUTE",
    "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": "WARRIOR WAY WELLNESS CENTER",
    "SecondLineMailingAddress": "469 MCLAWS CIRCLE",
    "MailingAddressCityName": "WILLIAMSBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23185",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-384-9325",
    "MailingAddressFaxNumber": "804-201-4816",
    "FirstLinePracticeLocationAddress": "WARRIOR WAY WELLNESS CENTER",
    "SecondLinePracticeLocationAddress": "469 MCLAWS CIRCLE",
    "PracticeLocationAddressCityName": "WILLIAMSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23185",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-384-9325",
    "PracticeLocationAddressFaxNumber": "804-201-4816",
    "EnumerationDate": "07/14/2022",
    "LastUpdateDate": "07/14/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHLERF",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": "F",
    "AuthorizedOfficialTitle": "PRESIDENT/ TRUSTEE",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA CISM BA COUNSELIN",
    "AuthorizedOfficialTelephoneNumber": "804-384-9325",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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