NPI Code Detail JSON Logo

1346966736 NPI number — THE TRAVELING THERAPIST, INC.

NPI Number: 1346966736
Health Care Provider/Practitioner: THE TRAVELING THERAPIST, INC.

Information about “1346966736” NPI (THE TRAVELING THERAPIST, INC.) exists in 1346966736 in HTML format HTML  |  1346966736 in plain Text format TXT  |  1346966736 in PDF (Portable Document Format) PDF  |  1346966736 in an XML format XML  formats.

NPI Number : 1346966736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346966736",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "-",
    "ParentOrgTIN": null,
    "OrgName": "THE TRAVELING THERAPIST, 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": "702 W ATHENS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90044-3921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-503-7590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "702 W ATHENS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90044-3921",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-503-7590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/17/2022",
    "LastUpdateDate": "10/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARDSON-KING",
    "AuthorizedOfficialFirstName": "LUVONNE",
    "AuthorizedOfficialMiddleName": "GENISE",
    "AuthorizedOfficialTitle": "LCSW",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW 22396",
    "AuthorizedOfficialTelephoneNumber": "213-503-7590",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.