NPI Code Detail JSON Logo

1821482803 NPI number — PERSONAL BEST T & C LLC

NPI Number: 1821482803
Health Care Provider/Practitioner: PERSONAL BEST T & C LLC

Information about “1821482803” NPI (PERSONAL BEST T & C LLC) exists in 1821482803 in HTML format HTML  |  1821482803 in plain Text format TXT  |  1821482803 in PDF (Portable Document Format) PDF  |  1821482803 in an XML format XML  formats.

NPI Number : 1821482803 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821482803",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PERSONAL BEST T & C 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": "16250 NORTHLAND DR STE 366",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48075-5208",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-649-5366",
    "MailingAddressFaxNumber": "313-347-4527",
    "FirstLinePracticeLocationAddress": "16250 NORTHLAND DR STE 366",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48075-5208",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-649-5366",
    "PracticeLocationAddressFaxNumber": "313-347-4527",
    "EnumerationDate": "03/26/2015",
    "LastUpdateDate": "11/02/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEBSTER",
    "AuthorizedOfficialFirstName": "LATASHA",
    "AuthorizedOfficialMiddleName": "ARTINA",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMSW",
    "AuthorizedOfficialTelephoneNumber": "313-953-5916",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "6801094581",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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