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1386801454 NPI number — QUARELLS CONSULTING, P.C.

NPI Number: 1386801454
Health Care Provider/Practitioner: QUARELLS CONSULTING, P.C.

Information about “1386801454” NPI (QUARELLS CONSULTING, P.C.) exists in 1386801454 in HTML format HTML  |  1386801454 in plain Text format TXT  |  1386801454 in PDF (Portable Document Format) PDF  |  1386801454 in an XML format XML  formats.

NPI Number : 1386801454 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386801454",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "QUARELLS CONSULTING, P.C.",
    "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": "1850 LAKE PARK DRIVE SE",
    "SecondLineMailingAddress": "SUITE 106",
    "MailingAddressCityName": "SMYRNA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30080-7647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-403-3124",
    "MailingAddressFaxNumber": "770-739-7659",
    "FirstLinePracticeLocationAddress": "1850 LAKE PARK DR SE STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SMYRNA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30080-7642",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-403-3124",
    "PracticeLocationAddressFaxNumber": "770-739-7659",
    "EnumerationDate": "05/16/2008",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "QUARELLS",
    "AuthorizedOfficialFirstName": "CARLTON",
    "AuthorizedOfficialMiddleName": "L.",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "770-403-3124",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY002525",
        "LicenseNumberStateCode": "GA",
        "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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