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1770606501 NPI number — LEA HARRELL PUTNAM M.ED.

NPI Number: 1770606501
Health Care Provider/Practitioner: LEA HARRELL PUTNAM M.ED.

Information about “1770606501” NPI (LEA HARRELL PUTNAM M.ED.) exists in 1770606501 in HTML format HTML  |  1770606501 in plain Text format TXT  |  1770606501 in PDF (Portable Document Format) PDF  |  1770606501 in an XML format XML  formats.

NPI Number : 1770606501 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770606501",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PUTNAM",
    "FirstName": "LEA",
    "MiddleName": "HARRELL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.ED.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARRELL",
    "OtherFirstName": "LEA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "LCMHC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 135",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAT CAVE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28710-0135",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-222-0489",
    "MailingAddressFaxNumber": "844-234-7856",
    "FirstLinePracticeLocationAddress": "76 OLD SPRINGDALE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28791-2510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-698-9465",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2007",
    "LastUpdateDate": "11/06/2025",
    "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": "4664",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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