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1659579696 NPI number — MILLICENT EVETTE ADADEVOH LCSW

NPI Number: 1659579696
Health Care Provider/Practitioner: MILLICENT EVETTE ADADEVOH LCSW

Information about “1659579696” NPI (MILLICENT EVETTE ADADEVOH LCSW) exists in 1659579696 in HTML format HTML  |  1659579696 in plain Text format TXT  |  1659579696 in PDF (Portable Document Format) PDF  |  1659579696 in an XML format XML  formats.

NPI Number : 1659579696 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659579696",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADADEVOH",
    "FirstName": "MILLICENT",
    "MiddleName": "EVETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5805",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRISCO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75035-0222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-233-1010",
    "MailingAddressFaxNumber": "972-233-1099",
    "FirstLinePracticeLocationAddress": "3333 PRESTON RD # 3001233",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRISCO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75034-9012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-665-8898",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/10/2007",
    "LastUpdateDate": "06/23/2024",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "149012263",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "52138",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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