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1336162213 NPI number — MS. CHERRY LOUISE WEAVER

NPI Number: 1336162213
Health Care Provider/Practitioner: MS. CHERRY LOUISE WEAVER

Information about “1336162213” NPI (MS. CHERRY LOUISE WEAVER) exists in 1336162213 in HTML format HTML  |  1336162213 in plain Text format TXT  |  1336162213 in PDF (Portable Document Format) PDF  |  1336162213 in an XML format XML  formats.

NPI Number : 1336162213 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336162213",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEAVER",
    "FirstName": "CHERRY",
    "MiddleName": "LOUISE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAFFER",
    "OtherFirstName": "CHERRY",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7706 WATER FOWL TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76002-4571",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-247-0880",
    "MailingAddressFaxNumber": "817-626-6400",
    "FirstLinePracticeLocationAddress": "111 NW 24TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76164-8544",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-626-7640",
    "PracticeLocationAddressFaxNumber": "817-626-6400",
    "EnumerationDate": "07/25/2006",
    "LastUpdateDate": "01/24/2012",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "1660",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "18833",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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