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1295804557 NPI number — PERSIS ANNE STEPIEN LCSW

NPI Number: 1295804557
Health Care Provider/Practitioner: PERSIS ANNE STEPIEN LCSW

Information about “1295804557” NPI (PERSIS ANNE STEPIEN LCSW) exists in 1295804557 in HTML format HTML  |  1295804557 in plain Text format TXT  |  1295804557 in PDF (Portable Document Format) PDF  |  1295804557 in an XML format XML  formats.

NPI Number : 1295804557 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295804557",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEPIEN",
    "FirstName": "PERSIS",
    "MiddleName": "ANNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIDIER",
    "OtherFirstName": "PERSIS",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1000 OLDE EASTWOOD VILLAGE BLVD UNIT A103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28803-1779",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-329-3339",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "220 3RD AVE W # A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28739-4308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-692-7255",
    "PracticeLocationAddressFaxNumber": "828-692-7830",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "07/13/2017",
    "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": "C004582",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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