1770882938 NPI number — DANIELLE DESNOYERS M.ED., LPC, RPT-S

NPI Number: 1770882938
Health Care Provider/Practitioner: DANIELLE DESNOYERS M.ED., LPC, RPT-S

NPI Number : 1770882938 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770882938",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DESNOYERS",
    "FirstName": "DANIELLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED., LPC, RPT-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DESNOYERS",
    "OtherFirstName": "DEE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.ED., LPC, RPT-S",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1201 CLAIRMONT RD",
    "SecondLineMailingAddress": "SUITE 305",
    "MailingAddressCityName": "DECATUR",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30030-1258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-348-3250",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1201 CLAIRMONT RD",
    "SecondLinePracticeLocationAddress": "SUITE 305",
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30030-1258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-348-3250",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2011",
    "LastUpdateDate": "03/26/2011",
    "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": "LPC005453",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}