{
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"OrgName": "LAURELTREE FAMILY & ACADEMIC COUNSELING SERVICES INC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "1947 PINE LAKE DR NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARAB",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35016-4535",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-677-1092",
"MailingAddressFaxNumber": "256-586-6715",
"FirstLinePracticeLocationAddress": "1058 N MAIN ST",
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"PracticeLocationAddressCityName": "ARAB",
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"PracticeLocationAddressTelephoneNumber": "256-677-1092",
"PracticeLocationAddressFaxNumber": "256-586-6715",
"EnumerationDate": "10/05/2006",
"LastUpdateDate": "08/14/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CREEL",
"AuthorizedOfficialFirstName": "JOE",
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"AuthorizedOfficialCredential": "LCSW, LPC, MA",
"AuthorizedOfficialTelephoneNumber": "256-677-1092",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Professional Counselor",
"LicenseNumber": "538",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}