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1780117069 NPI number — COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC

NPI Number: 1780117069
Health Care Provider/Practitioner: COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC

Information about “1780117069” NPI (COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC) exists in 1780117069 in HTML format HTML  |  1780117069 in plain Text format TXT  |  1780117069 in PDF (Portable Document Format) PDF  |  1780117069 in an XML format XML  formats.

NPI Number : 1780117069 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780117069",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COME 2 CHANGE WOMEN'S SUPPORT CENTER, LLC",
    "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": "10410 KENSINGTON PKWY",
    "SecondLineMailingAddress": "SUITE 219",
    "MailingAddressCityName": "KENSINGTON",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20895-2943",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-278-9522",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10410 KENSINGTON PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 219",
    "PracticeLocationAddressCityName": "KENSINGTON",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20895-2943",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-278-9522",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2017",
    "LastUpdateDate": "04/04/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUARTE",
    "AuthorizedOfficialFirstName": "LAURIEANN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW-C",
    "AuthorizedOfficialTelephoneNumber": "240-278-9522",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "18736",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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