{
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"IsOrgSubpart": "N",
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"OrgName": "LONNIE RICHARDSON COUNSELING SERVICES,LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "PO BOX 159",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONROEVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36461-0159",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-593-9611",
"MailingAddressFaxNumber": "251-743-3451",
"FirstLinePracticeLocationAddress": "307 E CLAIBORNE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONROEVILLE",
"PracticeLocationAddressStateName": "AL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-593-9611",
"PracticeLocationAddressFaxNumber": "251-743-3451",
"EnumerationDate": "03/21/2011",
"LastUpdateDate": "09/06/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICHARDSON",
"AuthorizedOfficialFirstName": "LONNIE",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER/ THERAPIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "SR.",
"AuthorizedOfficialCredential": "MS",
"AuthorizedOfficialTelephoneNumber": "251-593-9611",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "C1743A",
"LicenseNumberStateCode": "AL",
"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."
}
}
}
}