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1487959144 NPI number — RUTH H. ELAIJE MA, LPC

NPI Number: 1487959144
Health Care Provider/Practitioner: RUTH H. ELAIJE MA, LPC

Information about “1487959144” NPI (RUTH H. ELAIJE MA, LPC) exists in 1487959144 in HTML format HTML  |  1487959144 in plain Text format TXT  |  1487959144 in PDF (Portable Document Format) PDF  |  1487959144 in an XML format XML  formats.

NPI Number : 1487959144 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487959144",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELAIJE",
    "FirstName": "RUTH",
    "MiddleName": "H.",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KEAN",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "H.",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2922 PECAN SPRINGS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78723-4631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-841-5894",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2922 PECAN SPRINGS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78723-4631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-841-5894",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/11/2011",
    "LastUpdateDate": "01/11/2011",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "63415",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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