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1679993364 NPI number — CHARLOTTE LYNN YOUNT LPC, CTTS

NPI Number: 1679993364
Health Care Provider/Practitioner: CHARLOTTE LYNN YOUNT LPC, CTTS

Information about “1679993364” NPI (CHARLOTTE LYNN YOUNT LPC, CTTS) exists in 1679993364 in HTML format HTML  |  1679993364 in plain Text format TXT  |  1679993364 in PDF (Portable Document Format) PDF  |  1679993364 in an XML format XML  formats.

NPI Number : 1679993364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679993364",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNT",
    "FirstName": "CHARLOTTE",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC, CTTS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YOUNT",
    "OtherFirstName": "CHARLOTTE",
    "OtherMiddleName": "WELLS",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPC, CTTS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "304 PEBBLE CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39110-9188",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-316-2663",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "304 PEBBLE CREEK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADISON",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39110-9188",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-316-2663",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2014",
    "LastUpdateDate": "04/21/2014",
    "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": "1103",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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