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1285890707 NPI number — LESLIE JANE EASTERLY MA, LPC, LMHP

NPI Number: 1285890707
Health Care Provider/Practitioner: LESLIE JANE EASTERLY MA, LPC, LMHP

Information about “1285890707” NPI (LESLIE JANE EASTERLY MA, LPC, LMHP) exists in 1285890707 in HTML format HTML  |  1285890707 in plain Text format TXT  |  1285890707 in PDF (Portable Document Format) PDF  |  1285890707 in an XML format XML  formats.

NPI Number : 1285890707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285890707",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EASTERLY",
    "FirstName": "LESLIE",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC, LMHP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SIM",
    "OtherFirstName": "LESLIE",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2245 ILLINOIS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIDNEY",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "69162-1440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-254-1114",
    "MailingAddressFaxNumber": "308-254-1114",
    "FirstLinePracticeLocationAddress": "2245 ILLINOIS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIDNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "69162-1440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-254-1114",
    "PracticeLocationAddressFaxNumber": "308-254-1114",
    "EnumerationDate": "08/04/2008",
    "LastUpdateDate": "11/02/2009",
    "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": "3036",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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