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1376246876 NPI number — JOURNEY OF GROWTH THERAPY, PLLC

NPI Number: 1376246876
Health Care Provider/Practitioner: JOURNEY OF GROWTH THERAPY, PLLC

Information about “1376246876” NPI (JOURNEY OF GROWTH THERAPY, PLLC) exists in 1376246876 in HTML format HTML  |  1376246876 in plain Text format TXT  |  1376246876 in PDF (Portable Document Format) PDF  |  1376246876 in an XML format XML  formats.

NPI Number : 1376246876 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376246876",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JOURNEY OF GROWTH THERAPY, PLLC",
    "ParentOrgTIN": null,
    "OrgName": "JOURNEY OF GROWTH THERAPY, 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": "415 W. OKLAHOMA AVE",
    "SecondLineMailingAddress": "APT 6",
    "MailingAddressCityName": "WEATHERFORD",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73096-2877",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-682-1351",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1501 LERA",
    "SecondLinePracticeLocationAddress": "SUITE 1",
    "PracticeLocationAddressCityName": "WEATHERFORD",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73096-2877",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-816-4100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2023",
    "LastUpdateDate": "03/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TRACY",
    "AuthorizedOfficialFirstName": "BRETT",
    "AuthorizedOfficialMiddleName": "CHARLES",
    "AuthorizedOfficialTitle": "SOLE MBR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "580-682-1351",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "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."
      }
    }
  }
}
                
            

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