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1366112237 NPI number — ELIZABETH LYNNE MORAND MS, LPC, ATR-P

NPI Number: 1366112237
Health Care Provider/Practitioner: ELIZABETH LYNNE MORAND MS, LPC, ATR-P

Information about “1366112237” NPI (ELIZABETH LYNNE MORAND MS, LPC, ATR-P) exists in 1366112237 in HTML format HTML  |  1366112237 in plain Text format TXT  |  1366112237 in PDF (Portable Document Format) PDF  |  1366112237 in an XML format XML  formats.

NPI Number : 1366112237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366112237",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORAND",
    "FirstName": "ELIZABETH",
    "MiddleName": "LYNNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, LPC, ATR-P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORAND",
    "OtherFirstName": "BETSY",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LPC, ATR-P",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "5308 BENBRIDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76107-3208",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-845-5476",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "805 E 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PROSPER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75078-2919",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-481-6965",
    "PracticeLocationAddressFaxNumber": "469-481-6938",
    "EnumerationDate": "09/14/2021",
    "LastUpdateDate": "09/14/2021",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "82532",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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