NPI Code Detail JSON Logo

1508297979 NPI number — JULIE ANDRIA WILLIAMS M.A. NCC ADS LPC-S

NPI Number: 1508297979
Health Care Provider/Practitioner: JULIE ANDRIA WILLIAMS M.A. NCC ADS LPC-S

Information about “1508297979” NPI (JULIE ANDRIA WILLIAMS M.A. NCC ADS LPC-S) exists in 1508297979 in HTML format HTML  |  1508297979 in plain Text format TXT  |  1508297979 in PDF (Portable Document Format) PDF  |  1508297979 in an XML format XML  formats.

NPI Number : 1508297979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508297979",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "JULIE",
    "MiddleName": "ANDRIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A. NCC ADS LPC-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "JAYE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A. NCC ADS LPC-S",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 1711",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CEDAR HILL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75106-1711",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-672-5472",
    "MailingAddressFaxNumber": "817-405-7226",
    "FirstLinePracticeLocationAddress": "4025 WOODLAND PARK BLVD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76013-8051",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-672-5472",
    "PracticeLocationAddressFaxNumber": "469-242-0791",
    "EnumerationDate": "12/10/2013",
    "LastUpdateDate": "01/11/2025",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "66362",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "66362",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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