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1669752390 NPI number — TONYA L BRAILEY

NPI Number: 1669752390
Health Care Provider/Practitioner: TONYA L BRAILEY

Information about “1669752390” NPI (TONYA L BRAILEY) exists in 1669752390 in HTML format HTML  |  1669752390 in plain Text format TXT  |  1669752390 in PDF (Portable Document Format) PDF  |  1669752390 in an XML format XML  formats.

NPI Number : 1669752390 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669752390",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRAILEY",
    "FirstName": "TONYA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LLC",
    "OtherFirstName": "ADB CONSULTANTS",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "488 BERCKMAN DR NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LILBURN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30047-4916",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-376-4053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "488 BERCKMAN DR NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LILBURN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30047-4916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-376-4053",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2011",
    "LastUpdateDate": "08/25/2011",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "CSW003769",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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