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1477626299 NPI number — AMY LYN MOLINA ED.S, LPCC

NPI Number: 1477626299
Health Care Provider/Practitioner: AMY LYN MOLINA ED.S, LPCC

Information about “1477626299” NPI (AMY LYN MOLINA ED.S, LPCC) exists in 1477626299 in HTML format HTML  |  1477626299 in plain Text format TXT  |  1477626299 in PDF (Portable Document Format) PDF  |  1477626299 in an XML format XML  formats.

NPI Number : 1477626299 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477626299",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOLINA",
    "FirstName": "AMY",
    "MiddleName": "LYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ED.S, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TREVINO",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "LYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ED.S, LPCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1993",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS CRUCES",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88004-1993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "575-644-9209",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1625 SPRUCE AVE SPC 98",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS CRUCES",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88001-2471",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-644-9209",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/17/2006",
    "LastUpdateDate": "03/14/2025",
    "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": "0116921",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "CCMH0116921",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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