{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "THE HOLISTIC COALITION, LLC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "PO BOX 14602",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30324-1602",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "110 RED BIRD CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALPHARETTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30022-7133",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-525-0297",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/16/2018",
"LastUpdateDate": "02/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "ASHLEY",
"AuthorizedOfficialMiddleName": "NICOLE",
"AuthorizedOfficialTitle": "CO-FOUNDER/THERAPIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "678-525-0297",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFT001523",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}