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1861930281 NPI number — TILLER COUNSELING LLC

NPI Number: 1861930281
Health Care Provider/Practitioner: TILLER COUNSELING LLC

Information about “1861930281” NPI (TILLER COUNSELING LLC) exists in 1861930281 in HTML format HTML  |  1861930281 in plain Text format TXT  |  1861930281 in PDF (Portable Document Format) PDF  |  1861930281 in an XML format XML  formats.

NPI Number : 1861930281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861930281",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TILLER COUNSELING 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": "5N187 ELM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAYNE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60184-2316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-618-8887",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "303 N 2ND ST",
    "SecondLinePracticeLocationAddress": "ST 21",
    "PracticeLocationAddressCityName": "SAINT CHARLES",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60174-1804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-618-8887",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/06/2017",
    "LastUpdateDate": "02/06/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCDONALD",
    "AuthorizedOfficialFirstName": "MATTHEW",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCPC",
    "AuthorizedOfficialTelephoneNumber": "630-618-8887",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "180007130",
        "LicenseNumberStateCode": "IL",
        "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."
      }
    }
  }
}
                
            

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