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1275637613 NPI number — SHANNON ANN HUNTER LPCS, LCDC

NPI Number: 1275637613
Health Care Provider/Practitioner: SHANNON ANN HUNTER LPCS, LCDC

Information about “1275637613” NPI (SHANNON ANN HUNTER LPCS, LCDC) exists in 1275637613 in HTML format HTML  |  1275637613 in plain Text format TXT  |  1275637613 in PDF (Portable Document Format) PDF  |  1275637613 in an XML format XML  formats.

NPI Number : 1275637613 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275637613",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUNTER",
    "FirstName": "SHANNON",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LPCS, LCDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HICKS",
    "OtherFirstName": "SHANNON",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPCS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6628 SHADYVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANTIOCH",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37013-5655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "409-927-0944",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6628 SHADYVIEW DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANTIOCH",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37013-5655",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-927-0944",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "09/15/2021",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "18861",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "18861",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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