{
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"IsOrgSubpart": "N",
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"OrgName": "ALLIANCE COUNSELING & CONSULTING LLC",
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"FirstLineMailingAddress": "701 E 5TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT CLOUD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34769-3024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-891-9607",
"MailingAddressFaxNumber": "407-892-3992",
"FirstLinePracticeLocationAddress": "2500 DISCOVERY DR",
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"PracticeLocationAddressCityName": "ORLANDO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32826-3709",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-891-9607",
"PracticeLocationAddressFaxNumber": "407-892-3992",
"EnumerationDate": "05/15/2008",
"LastUpdateDate": "05/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KELLOGG",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialTitle": "COUNSELOR",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "407-891-9607",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH6448",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}