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1619373834 NPI number — COUPLES THERAPY SERVICES

NPI Number: 1619373834
Health Care Provider/Practitioner: COUPLES THERAPY SERVICES

Information about “1619373834” NPI (COUPLES THERAPY SERVICES) exists in 1619373834 in HTML format HTML  |  1619373834 in plain Text format TXT  |  1619373834 in PDF (Portable Document Format) PDF  |  1619373834 in an XML format XML  formats.

NPI Number : 1619373834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619373834",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BRIANNA HABER, LLC",
    "ParentOrgTIN": null,
    "OrgName": "COUPLES THERAPY SERVICES",
    "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": "168 FRANKLIN CORNER RD STE B210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08648-2529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-804-4314",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "180 TULIP LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FREEHOLD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07728-4097",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-804-4314",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/16/2014",
    "LastUpdateDate": "11/16/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRUNNER",
    "AuthorizedOfficialFirstName": "BRIANNA",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "732-804-4314",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "44SC05522300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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