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1508794538 NPI number — EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)

NPI Number: 1508794538
Health Care Provider/Practitioner: EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)

Information about “1508794538” NPI (EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)) exists in 1508794538 in HTML format HTML  |  1508794538 in plain Text format TXT  |  1508794538 in PDF (Portable Document Format) PDF  |  1508794538 in an XML format XML  formats.

NPI Number : 1508794538 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508794538",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)",
    "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": "258 S FLORISSANT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FERGUSON",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63135-2736",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-380-3135",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "258 S FLORISSANT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FERGUSON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63135-2736",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-380-3135",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ECHOLS",
    "AuthorizedOfficialFirstName": "MICHELLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDER/CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DSW, LCSW, CADC",
    "AuthorizedOfficialTelephoneNumber": "314-380-3135",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "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."
      }
    }
  }
}
                
            

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