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1578334132 NPI number — CHANGE POINTE LLC

NPI Number: 1578334132
Health Care Provider/Practitioner: CHANGE POINTE LLC

Information about “1578334132” NPI (CHANGE POINTE LLC) exists in 1578334132 in HTML format HTML  |  1578334132 in plain Text format TXT  |  1578334132 in PDF (Portable Document Format) PDF  |  1578334132 in an XML format XML  formats.

NPI Number : 1578334132 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578334132",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHANGE POINTE 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": "PO BOX 191",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARDEN CITY",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67846-0191",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-271-8650",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2606 N FLEMING ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67846-3254",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-982-2093",
    "PracticeLocationAddressFaxNumber": "620-710-7636",
    "EnumerationDate": "01/12/2024",
    "LastUpdateDate": "01/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "UNRUH",
    "AuthorizedOfficialFirstName": "ROBIN",
    "AuthorizedOfficialMiddleName": "RAE",
    "AuthorizedOfficialTitle": "OWNER/BEHAVIORAL HEALTH SPECIALIST",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LSCSW, LISW, LCAC",
    "AuthorizedOfficialTelephoneNumber": "620-982-2093",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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