NPI Code Detail JSON Logo

1851800437 NPI number — THE GOOD LIFE INSTITUTE, LLC

NPI Number: 1851800437
Health Care Provider/Practitioner: THE GOOD LIFE INSTITUTE, LLC

Information about “1851800437” NPI (THE GOOD LIFE INSTITUTE, LLC) exists in 1851800437 in HTML format HTML  |  1851800437 in plain Text format TXT  |  1851800437 in PDF (Portable Document Format) PDF  |  1851800437 in an XML format XML  formats.

NPI Number : 1851800437 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851800437",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE GOOD LIFE INSTITUTE, 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": "1033 REGENTS BLVD STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FIRCREST",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98466-6089",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-238-6554",
    "MailingAddressFaxNumber": "253-590-0821",
    "FirstLinePracticeLocationAddress": "1033 REGENTS BLVD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FIRCREST",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98466-6089",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-238-6554",
    "PracticeLocationAddressFaxNumber": "253-590-0821",
    "EnumerationDate": "09/26/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PHILLIPS",
    "AuthorizedOfficialFirstName": "KARIAH",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "CO-OWNER/THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LICSW",
    "AuthorizedOfficialTelephoneNumber": "253-238-6554",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "LF60123442",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LW60200313",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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