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1730929498 NPI number — HAYLEY MARIE WILLIS AMFT

NPI Number: 1730929498
Health Care Provider/Practitioner: HAYLEY MARIE WILLIS AMFT

Information about “1730929498” NPI (HAYLEY MARIE WILLIS AMFT) exists in 1730929498 in HTML format HTML  |  1730929498 in plain Text format TXT  |  1730929498 in PDF (Portable Document Format) PDF  |  1730929498 in an XML format XML  formats.

NPI Number : 1730929498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730929498",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIS",
    "FirstName": "HAYLEY",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3483 TAPO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIMI VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93063-1241",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-791-0907",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "32107 LINDERO CANYON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTLAKE VILLAGE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91361-4222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-964-1806",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2024",
    "LastUpdateDate": "05/30/2024",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "132776",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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