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1740508993 NPI number — ADOLESCENCE TO ADULTHOOD COUNSELING

NPI Number: 1740508993
Health Care Provider/Practitioner: ADOLESCENCE TO ADULTHOOD COUNSELING

Information about “1740508993” NPI (ADOLESCENCE TO ADULTHOOD COUNSELING) exists in 1740508993 in HTML format HTML  |  1740508993 in plain Text format TXT  |  1740508993 in PDF (Portable Document Format) PDF  |  1740508993 in an XML format XML  formats.

NPI Number : 1740508993 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740508993",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADOLESCENCE TO ADULTHOOD COUNSELING",
    "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": "PO BOX 540724",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH SALT LAKE",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84054-0724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-791-0400",
    "MailingAddressFaxNumber": "801-298-0846",
    "FirstLinePracticeLocationAddress": "640 N MAIN ST",
    "SecondLinePracticeLocationAddress": "SUITE 1474",
    "PracticeLocationAddressCityName": "NORTH SALT LAKE",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84054-2162",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-891-0400",
    "PracticeLocationAddressFaxNumber": "801-298-0846",
    "EnumerationDate": "05/12/2010",
    "LastUpdateDate": "05/12/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HULL",
    "AuthorizedOfficialFirstName": "KENNETH",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "QWNER / CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "801-891-0400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "16382",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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