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1619487477 NPI number — ELIZABETH BISSETT M.ED./ED.S., LMHC

NPI Number: 1619487477
Health Care Provider/Practitioner: ELIZABETH BISSETT M.ED./ED.S., LMHC

Information about “1619487477” NPI (ELIZABETH BISSETT M.ED./ED.S., LMHC) exists in 1619487477 in HTML format HTML  |  1619487477 in plain Text format TXT  |  1619487477 in PDF (Portable Document Format) PDF  |  1619487477 in an XML format XML  formats.

NPI Number : 1619487477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619487477",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BISSETT",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED./ED.S., LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BISSETT",
    "OtherFirstName": "LISA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "5454 LENA RD UNIT 106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRADENTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34211-9499",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-896-7609",
    "MailingAddressFaxNumber": "941-201-4856",
    "FirstLinePracticeLocationAddress": "5454 LENA RD UNIT 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRADENTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34211-9499",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-896-7609",
    "PracticeLocationAddressFaxNumber": "941-201-4856",
    "EnumerationDate": "10/06/2017",
    "LastUpdateDate": "10/06/2017",
    "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": "MH15051",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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