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1316759517 NPI number — EDIE'S SUPPORT AND GUIDANCE, INC.

NPI Number: 1316759517
Health Care Provider/Practitioner: EDIE'S SUPPORT AND GUIDANCE, INC.

Information about “1316759517” NPI (EDIE'S SUPPORT AND GUIDANCE, INC.) exists in 1316759517 in HTML format HTML  |  1316759517 in plain Text format TXT  |  1316759517 in PDF (Portable Document Format) PDF  |  1316759517 in an XML format XML  formats.

NPI Number : 1316759517 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316759517",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EDIE'S SUPPORT AND GUIDANCE, INC.",
    "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": "14956 HUNTCLIFF PARK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32824-5722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-536-9219",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14956 HUNTCLIFF PARK WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32824-5722",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-536-9219",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2025",
    "LastUpdateDate": "01/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAZQUEZ",
    "AuthorizedOfficialFirstName": "DAISY",
    "AuthorizedOfficialMiddleName": "GALVAN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "847-502-8171",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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