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1497289508 NPI number — MOMILANI S WILLIAMS MS, LMHC, LPC

NPI Number: 1497289508
Health Care Provider/Practitioner: MOMILANI S WILLIAMS MS, LMHC, LPC

Information about “1497289508” NPI (MOMILANI S WILLIAMS MS, LMHC, LPC) exists in 1497289508 in HTML format HTML  |  1497289508 in plain Text format TXT  |  1497289508 in PDF (Portable Document Format) PDF  |  1497289508 in an XML format XML  formats.

NPI Number : 1497289508 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497289508",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "MOMILANI",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, LMHC, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORALES",
    "OtherFirstName": "MOMILANI",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LMHC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8300 ESTERS BLVD STE 900",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVING",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75063-2233",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-424-4266",
    "MailingAddressFaxNumber": "415-520-6633",
    "FirstLinePracticeLocationAddress": "8280 WILLOW OAKS CORPORATE DR STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22031-4516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-424-4426",
    "PracticeLocationAddressFaxNumber": "415-520-6633",
    "EnumerationDate": "04/14/2017",
    "LastUpdateDate": "05/14/2024",
    "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": "PC017167",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MHC-434",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "0701011967",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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