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1255464566 NPI number — EMILY ELIZABETH BAILEY LPC

NPI Number: 1255464566
Health Care Provider/Practitioner: EMILY ELIZABETH BAILEY LPC

Information about “1255464566” NPI (EMILY ELIZABETH BAILEY LPC) exists in 1255464566 in HTML format HTML  |  1255464566 in plain Text format TXT  |  1255464566 in PDF (Portable Document Format) PDF  |  1255464566 in an XML format XML  formats.

NPI Number : 1255464566 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255464566",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAILEY",
    "FirstName": "EMILY",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAYNOR",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "342 BURROW LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COTTON VALLEY",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71018-2932",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "183-510-4784",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7505 PINES RD STE 1115",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHREVEPORT",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71129-3900",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-683-4086",
    "PracticeLocationAddressFaxNumber": "318-623-4087",
    "EnumerationDate": "03/14/2007",
    "LastUpdateDate": "12/21/2020",
    "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": "6385",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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