NPI Code Detail JSON Logo

1265315352 NPI number — SARAH WOOLSON APC, LPMT, MT-BC

NPI Number: 1265315352
Health Care Provider/Practitioner: SARAH WOOLSON APC, LPMT, MT-BC

Information about “1265315352” NPI (SARAH WOOLSON APC, LPMT, MT-BC) exists in 1265315352 in HTML format HTML  |  1265315352 in plain Text format TXT  |  1265315352 in PDF (Portable Document Format) PDF  |  1265315352 in an XML format XML  formats.

NPI Number : 1265315352 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265315352",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOOLSON",
    "FirstName": "SARAH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APC, LPMT, MT-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6940 ROSWELL RD UNIT 13C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30328-2230",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-946-6566",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6774 JAMESTOWN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALPHARETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30005-3030",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-449-1236",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2025",
    "LastUpdateDate": "07/28/2025",
    "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": "225A00000X",
          "TaxonomyName": "Music Therapist",
          "LicenseNumber": "MUT000226",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "APC010005",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.