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1336575125 NPI number — ELIZABETH KEHAULANI LYONS LMFT

NPI Number: 1336575125
Health Care Provider/Practitioner: ELIZABETH KEHAULANI LYONS LMFT

Information about “1336575125” NPI (ELIZABETH KEHAULANI LYONS LMFT) exists in 1336575125 in HTML format HTML  |  1336575125 in plain Text format TXT  |  1336575125 in PDF (Portable Document Format) PDF  |  1336575125 in an XML format XML  formats.

NPI Number : 1336575125 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336575125",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYONS",
    "FirstName": "ELIZABETH",
    "MiddleName": "KEHAULANI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1113 MURFREESBORO RD STE 319",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRANKLIN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37064-1312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-790-0567",
    "MailingAddressFaxNumber": "615-814-2924",
    "FirstLinePracticeLocationAddress": "1113 MURFREESBORO RD STE 319",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37064-1312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-790-0567",
    "PracticeLocationAddressFaxNumber": "615-814-2924",
    "EnumerationDate": "09/24/2013",
    "LastUpdateDate": "03/18/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/31/2017",
    "NPIReactivationDate": "09/15/2017",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "344",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "1838",
          "LicenseNumberStateCode": "TN",
          "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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