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1295509669 NPI number — CREATING WELLNESS COUNSELING LLC

NPI Number: 1295509669
Health Care Provider/Practitioner: CREATING WELLNESS COUNSELING LLC

Information about “1295509669” NPI (CREATING WELLNESS COUNSELING LLC) exists in 1295509669 in HTML format HTML  |  1295509669 in plain Text format TXT  |  1295509669 in PDF (Portable Document Format) PDF  |  1295509669 in an XML format XML  formats.

NPI Number : 1295509669 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295509669",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CREATING WELLNESS COUNSELING LLC",
    "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": "65 AVONWOOD RD APT B19",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVON",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06001-2086",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "186-068-1216",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15 N MAIN ST STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST HARTFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06107-1957",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-681-2161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2023",
    "LastUpdateDate": "11/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OSHANA",
    "AuthorizedOfficialFirstName": "KATHERINE",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "OWNER/EMPLOYEE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC, ATR",
    "AuthorizedOfficialTelephoneNumber": "860-681-2161",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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