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1508168337 NPI number — BRIDGING HOPE COUNSELING SERVICES LLC

NPI Number: 1508168337
Health Care Provider/Practitioner: BRIDGING HOPE COUNSELING SERVICES LLC

Information about “1508168337” NPI (BRIDGING HOPE COUNSELING SERVICES LLC) exists in 1508168337 in HTML format HTML  |  1508168337 in plain Text format TXT  |  1508168337 in PDF (Portable Document Format) PDF  |  1508168337 in an XML format XML  formats.

NPI Number : 1508168337 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508168337",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRIDGING HOPE COUNSELING SERVICES LLC",
    "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": "21000 ROGERS DR",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "ROGERS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55374-4652",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-291-5505",
    "MailingAddressFaxNumber": "763-657-0819",
    "FirstLinePracticeLocationAddress": "311 BRIGHTON AVE S",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "BUFFALO",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55313-2312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "763-291-5505",
    "PracticeLocationAddressFaxNumber": "763-657-0819",
    "EnumerationDate": "11/30/2010",
    "LastUpdateDate": "11/30/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WALDOCH",
    "AuthorizedOfficialFirstName": "HEIDI",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "LMFT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA",
    "AuthorizedOfficialTelephoneNumber": "763-291-5505",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": "1894",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": "1894",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": "1894",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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