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1366858532 NPI number — INNER WELLNESS COUNSELING CENTER, PLLC

NPI Number: 1366858532
Health Care Provider/Practitioner: INNER WELLNESS COUNSELING CENTER, PLLC

Information about “1366858532” NPI (INNER WELLNESS COUNSELING CENTER, PLLC) exists in 1366858532 in HTML format HTML  |  1366858532 in plain Text format TXT  |  1366858532 in PDF (Portable Document Format) PDF  |  1366858532 in an XML format XML  formats.

NPI Number : 1366858532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366858532",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INNER WELLNESS COUNSELING CENTER, PLLC",
    "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": "18800 EGRET BAY BLVD",
    "SecondLineMailingAddress": "1613",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77058-3834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-366-6988",
    "MailingAddressFaxNumber": "281-214-0507",
    "FirstLinePracticeLocationAddress": "1322 SPACE PARK DR",
    "SecondLinePracticeLocationAddress": "C155",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77058-3400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-366-6988",
    "PracticeLocationAddressFaxNumber": "281-214-0507",
    "EnumerationDate": "07/08/2014",
    "LastUpdateDate": "08/22/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DA SILVA",
    "AuthorizedOfficialFirstName": "MARIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "713-366-6988",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "68150",
        "LicenseNumberStateCode": "TX",
        "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."
      }
    }
  }
}
                
            

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