{
"Npi": {
"NPI": "1700042199",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALTERNATIVE CREATIVE THERAPY",
"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": "2600 OLD FRANKLIN TPKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKY MOUNT",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24151-5676",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-484-6996",
"MailingAddressFaxNumber": "540-484-6935",
"FirstLinePracticeLocationAddress": "2600 OLD FRANKLIN TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKY MOUNT",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24151-5676",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-484-6996",
"PracticeLocationAddressFaxNumber": "540-484-6935",
"EnumerationDate": "08/05/2008",
"LastUpdateDate": "08/05/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOSGES",
"AuthorizedOfficialFirstName": "SANDI",
"AuthorizedOfficialMiddleName": "GALE",
"AuthorizedOfficialTitle": "OWNER/THERAPIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "540-484-6996",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "117071",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}