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1801325626 NPI number — LIFE IN PROGRESS

NPI Number: 1801325626
Health Care Provider/Practitioner: LIFE IN PROGRESS

Information about “1801325626” NPI (LIFE IN PROGRESS) exists in 1801325626 in HTML format HTML  |  1801325626 in plain Text format TXT  |  1801325626 in PDF (Portable Document Format) PDF  |  1801325626 in an XML format XML  formats.

NPI Number : 1801325626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801325626",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFE IN PROGRESS",
    "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": "577 JACKSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLIMANTIC",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06226-1633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-908-3400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 TOWNE PARK PLZ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWICH",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06360-2247",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-908-3400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2017",
    "LastUpdateDate": "06/06/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ZUZEL",
    "AuthorizedOfficialFirstName": "JOY",
    "AuthorizedOfficialMiddleName": "ELLEN",
    "AuthorizedOfficialTitle": "PSYCHOTHERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "860-908-3400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "2853",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "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."
      }
    }
  }
}
                
            

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