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1679701312 NPI number — ALPENGLOW COUNSELING SERVICES, LLC

NPI Number: 1679701312
Health Care Provider/Practitioner: ALPENGLOW COUNSELING SERVICES, LLC

Information about “1679701312” NPI (ALPENGLOW COUNSELING SERVICES, LLC) exists in 1679701312 in HTML format HTML  |  1679701312 in plain Text format TXT  |  1679701312 in PDF (Portable Document Format) PDF  |  1679701312 in an XML format XML  formats.

NPI Number : 1679701312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679701312",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALPENGLOW COUNSELING SERVICES, 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": "PO BOX 6820",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "83002-6820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-690-7814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "357 W. DELONEY",
    "SecondLinePracticeLocationAddress": "C-17",
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "83001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-690-7814",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2009",
    "LastUpdateDate": "07/01/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BURKHOLDER",
    "AuthorizedOfficialFirstName": "MELANIE",
    "AuthorizedOfficialMiddleName": "GAYLE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "307-690-7814",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "1534",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "1085",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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