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1871264671 NPI number — MICHELLE DENISE STANGLINE LPC

NPI Number: 1871264671
Health Care Provider/Practitioner: MICHELLE DENISE STANGLINE LPC

Information about “1871264671” NPI (MICHELLE DENISE STANGLINE LPC) exists in 1871264671 in HTML format HTML  |  1871264671 in plain Text format TXT  |  1871264671 in PDF (Portable Document Format) PDF  |  1871264671 in an XML format XML  formats.

NPI Number : 1871264671 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871264671",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STANGLINE",
    "FirstName": "MICHELLE",
    "MiddleName": "DENISE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11582 BIG CANOE",
    "SecondLineMailingAddress": "227 GADALUTSEE PASS",
    "MailingAddressCityName": "JASPER",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-518-1622",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11582 BIG CANOE",
    "SecondLinePracticeLocationAddress": "227 GADALUTSEE PASS",
    "PracticeLocationAddressCityName": "JASPER",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-518-1622",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2021",
    "LastUpdateDate": "09/22/2021",
    "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": "LPC004703",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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