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1326838731 NPI number — HALEY LANORA OSEMEKE LCSW

NPI Number: 1326838731
Health Care Provider/Practitioner: HALEY LANORA OSEMEKE LCSW

Information about “1326838731” NPI (HALEY LANORA OSEMEKE LCSW) exists in 1326838731 in HTML format HTML  |  1326838731 in plain Text format TXT  |  1326838731 in PDF (Portable Document Format) PDF  |  1326838731 in an XML format XML  formats.

NPI Number : 1326838731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326838731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSEMEKE",
    "FirstName": "HALEY",
    "MiddleName": "LANORA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHIREY",
    "OtherFirstName": "HALEY",
    "OtherMiddleName": "LANORA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSWI",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "166 LAKE MARIANA PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUBURNDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33823-3354",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-307-8906",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2600 S FLORIDA AVE STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKELAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33803-3809",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-690-6906",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2025",
    "LastUpdateDate": "10/03/2025",
    "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": "SW24686",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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