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1770264293 NPI number — CALLOWAY

NPI Number: 1770264293
Health Care Provider/Practitioner: CALLOWAY

Information about “1770264293” NPI (CALLOWAY) exists in 1770264293 in HTML format HTML  |  1770264293 in plain Text format TXT  |  1770264293 in PDF (Portable Document Format) PDF  |  1770264293 in an XML format XML  formats.

NPI Number : 1770264293 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770264293",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CALLOWAY",
    "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": "300 PRAIRIE FIELD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSCALOOSA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35405-9651",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-218-2200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "971 FAIRFAX PARK STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUSCALOOSA",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35406-2829",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-435-4045",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/27/2023",
    "LastUpdateDate": "07/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CALLOWAY",
    "AuthorizedOfficialFirstName": "CHARICE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MARRIAGE AND FAMILY THERAPIST/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "808-218-2200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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