NPI Code Detail JSON Logo

1841004421 NPI number — MADALYN G MESSICK PLPC

NPI Number: 1841004421
Health Care Provider/Practitioner: MADALYN G MESSICK PLPC

Information about “1841004421” NPI (MADALYN G MESSICK PLPC) exists in 1841004421 in HTML format HTML  |  1841004421 in plain Text format TXT  |  1841004421 in PDF (Portable Document Format) PDF  |  1841004421 in an XML format XML  formats.

NPI Number : 1841004421 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841004421",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MESSICK",
    "FirstName": "MADALYN",
    "MiddleName": "G",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PLPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8626 AIRWAYS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHAVEN",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38671-2603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-772-5937",
    "MailingAddressFaxNumber": "662-772-5940",
    "FirstLinePracticeLocationAddress": "8626 AIRWAYS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHAVEN",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38671-2603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-772-5937",
    "PracticeLocationAddressFaxNumber": "662-772-5940",
    "EnumerationDate": "02/04/2025",
    "LastUpdateDate": "02/04/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "P-1283",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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