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1558836239 NPI number — AGAPE COUNSELING OF MARYLAND

NPI Number: 1558836239
Health Care Provider/Practitioner: AGAPE COUNSELING OF MARYLAND

Information about “1558836239” NPI (AGAPE COUNSELING OF MARYLAND) exists in 1558836239 in HTML format HTML  |  1558836239 in plain Text format TXT  |  1558836239 in PDF (Portable Document Format) PDF  |  1558836239 in an XML format XML  formats.

NPI Number : 1558836239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558836239",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AGAPE COUNSELING OF MARYLAND",
    "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": "506 SUMMIT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FALLSTON",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21047-2616",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-371-3256",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "418 S MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEL AIR",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21014-3920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-371-3256",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2018",
    "LastUpdateDate": "10/09/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLEMING",
    "AuthorizedOfficialFirstName": "DONALD",
    "AuthorizedOfficialMiddleName": "DAVID",
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS",
    "AuthorizedOfficialTelephoneNumber": "443-371-3256",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "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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