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1699941187 NPI number — THOMASVILLE FAMILY COUNSELING CENTER

NPI Number: 1699941187
Health Care Provider/Practitioner: THOMASVILLE FAMILY COUNSELING CENTER

Information about “1699941187” NPI (THOMASVILLE FAMILY COUNSELING CENTER) exists in 1699941187 in HTML format HTML  |  1699941187 in plain Text format TXT  |  1699941187 in PDF (Portable Document Format) PDF  |  1699941187 in an XML format XML  formats.

NPI Number : 1699941187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699941187",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THOMASVILLE FAMILY COUNSELING CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1353",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THOMASVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31799-1353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-551-9300",
    "MailingAddressFaxNumber": "229-226-4649",
    "FirstLinePracticeLocationAddress": "330 N BROAD ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THOMASVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31792-5100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-551-9300",
    "PracticeLocationAddressFaxNumber": "229-226-4649",
    "EnumerationDate": "05/05/2008",
    "LastUpdateDate": "05/05/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRENGOSZ",
    "AuthorizedOfficialFirstName": "CINDY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OFFICE  MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "229-551-9300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC2200X",
        "TaxonomyName": "Clinical Child & Adolescent Psychologist",
        "LicenseNumber": "PSY002460",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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