NPI Code Detail JSON Logo

1841684388 NPI number — ANGELA HARRIS LISW-S

NPI Number: 1841684388
Health Care Provider/Practitioner: ANGELA HARRIS LISW-S

Information about “1841684388” NPI (ANGELA HARRIS LISW-S) exists in 1841684388 in HTML format HTML  |  1841684388 in plain Text format TXT  |  1841684388 in PDF (Portable Document Format) PDF  |  1841684388 in an XML format XML  formats.

NPI Number : 1841684388 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841684388",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARRIS",
    "FirstName": "ANGELA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LISW-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5001 E WOHLERS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARBLEHEAD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43440-9707",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-573-9163",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1854 E PERRY ST STE 900",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT CLINTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43452-1586",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-359-5110",
    "PracticeLocationAddressFaxNumber": "419-359-5114",
    "EnumerationDate": "03/23/2015",
    "LastUpdateDate": "08/21/2023",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "100779",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "I.2002334",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "I.2002334-SUPV",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.