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1760863666 NPI number — COACHING FOR THE VOYAGE

NPI Number: 1760863666
Health Care Provider/Practitioner: COACHING FOR THE VOYAGE

Information about “1760863666” NPI (COACHING FOR THE VOYAGE) exists in 1760863666 in HTML format HTML  |  1760863666 in plain Text format TXT  |  1760863666 in PDF (Portable Document Format) PDF  |  1760863666 in an XML format XML  formats.

NPI Number : 1760863666 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760863666",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COACHING FOR THE VOYAGE",
    "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 65",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MECHANICSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20659-0065",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-538-2577",
    "MailingAddressFaxNumber": "888-974-6528",
    "FirstLinePracticeLocationAddress": "23123 CAMDEN WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CALIFORNIA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20619-2446",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-538-2577",
    "PracticeLocationAddressFaxNumber": "888-974-6528",
    "EnumerationDate": "06/16/2015",
    "LastUpdateDate": "06/16/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BENNETT",
    "AuthorizedOfficialFirstName": "DONNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW-C",
    "AuthorizedOfficialTelephoneNumber": "240-538-2577",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "09312",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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