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1740371277 NPI number — FELICIA HENSLEY WHITAKER LPC

NPI Number: 1740371277
Health Care Provider/Practitioner: FELICIA HENSLEY WHITAKER LPC

Information about “1740371277” NPI (FELICIA HENSLEY WHITAKER LPC) exists in 1740371277 in HTML format HTML  |  1740371277 in plain Text format TXT  |  1740371277 in PDF (Portable Document Format) PDF  |  1740371277 in an XML format XML  formats.

NPI Number : 1740371277 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740371277",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITAKER",
    "FirstName": "FELICIA",
    "MiddleName": "HENSLEY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HENSLEY-WHITAKER",
    "OtherFirstName": "FELICIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M. A., LPC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANSFIELD",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71052-0300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-872-5023",
    "MailingAddressFaxNumber": "903-988-0243",
    "FirstLinePracticeLocationAddress": "1915 MCARTHUR DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANSFIELD",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71052-4505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-872-1309",
    "PracticeLocationAddressFaxNumber": "318-872-1337",
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "09/10/2021",
    "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": "14951",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "4150",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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