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1699405241 NPI number — ENALEN FAMILY COUNSELING A PROFESSIONAL CORPORATION

NPI Number: 1699405241
Health Care Provider/Practitioner: ENALEN FAMILY COUNSELING A PROFESSIONAL CORPORATION

Information about “1699405241” NPI (ENALEN FAMILY COUNSELING A PROFESSIONAL CORPORATION) exists in 1699405241 in HTML format HTML  |  1699405241 in plain Text format TXT  |  1699405241 in PDF (Portable Document Format) PDF  |  1699405241 in an XML format XML  formats.

NPI Number : 1699405241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699405241",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ENALEN FAMILY COUNSELING A PROFESSIONAL CORPORATION",
    "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": "27475 YNEZ RD # 146",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEMECULA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92591-4612",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-704-6554",
    "MailingAddressFaxNumber": "800-577-8535",
    "FirstLinePracticeLocationAddress": "41593 WINCHESTER RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEMECULA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92590-4857",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-704-6554",
    "PracticeLocationAddressFaxNumber": "800-577-8435",
    "EnumerationDate": "06/15/2022",
    "LastUpdateDate": "06/15/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ENALEN",
    "AuthorizedOfficialFirstName": "TRACY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "951-704-6554",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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