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1568696375 NPI number — TARNICIA R DURHAM LPC

NPI Number: 1568696375
Health Care Provider/Practitioner: TARNICIA R DURHAM LPC

Information about “1568696375” NPI (TARNICIA R DURHAM LPC) exists in 1568696375 in HTML format HTML  |  1568696375 in plain Text format TXT  |  1568696375 in PDF (Portable Document Format) PDF  |  1568696375 in an XML format XML  formats.

NPI Number : 1568696375 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568696375",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURHAM",
    "FirstName": "TARNICIA",
    "MiddleName": "R",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3717 EMMET HUTTO BLVD APT 1105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAYTOWN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77521-1793",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-214-1163",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "505 N SAM HOUSTON PKWY E",
    "SecondLinePracticeLocationAddress": "STE 502",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77060-4018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-447-9355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2009",
    "LastUpdateDate": "01/03/2012",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "67426",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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