{
"Npi": {
"NPI": "1831247352",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PATRICE",
"FirstName": "LAURIE",
"MiddleName": "LANCASTER",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WELLS",
"OtherFirstName": "LAURIE",
"OtherMiddleName": "PATRICE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "3455 LAWRENCEVILLE SUWANEE RD",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "SUWANEE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30024-6425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-634-3285",
"MailingAddressFaxNumber": "404-201-2103",
"FirstLinePracticeLocationAddress": "3455 LAWRENCEVILLE SUWANEE RD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "SUWANEE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30024-6425",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-634-3285",
"PracticeLocationAddressFaxNumber": "404-201-2103",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "01/08/2010",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "3972",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}