NPI Code Detail JSON Logo

1629519921 NPI number — TRUE TO YOU COUNSELING SERVICE LLC

NPI Number: 1629519921
Health Care Provider/Practitioner: TRUE TO YOU COUNSELING SERVICE LLC

Information about “1629519921” NPI (TRUE TO YOU COUNSELING SERVICE LLC) exists in 1629519921 in HTML format HTML  |  1629519921 in plain Text format TXT  |  1629519921 in PDF (Portable Document Format) PDF  |  1629519921 in an XML format XML  formats.

NPI Number : 1629519921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629519921",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRUE TO YOU COUNSELING SERVICE 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": "126 E EVELYN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTICELLO",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42633-1210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-212-6806",
    "MailingAddressFaxNumber": "606-348-0440",
    "FirstLinePracticeLocationAddress": "126 E EVELYN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTICELLO",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-212-6806",
    "PracticeLocationAddressFaxNumber": "606-348-0440",
    "EnumerationDate": "03/20/2017",
    "LastUpdateDate": "03/20/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROBERTS",
    "AuthorizedOfficialFirstName": "ANTHONY",
    "AuthorizedOfficialMiddleName": "BERNARD",
    "AuthorizedOfficialTitle": "PARTNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPCC, LCADC",
    "AuthorizedOfficialTelephoneNumber": "859-212-6806",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "166605",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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