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1871422238 NPI number — WINGS OF CHANGE PSYCHOTHERAPY LLC

NPI Number: 1871422238
Health Care Provider/Practitioner: WINGS OF CHANGE PSYCHOTHERAPY LLC

Information about “1871422238” NPI (WINGS OF CHANGE PSYCHOTHERAPY LLC) exists in 1871422238 in HTML format HTML  |  1871422238 in plain Text format TXT  |  1871422238 in PDF (Portable Document Format) PDF  |  1871422238 in an XML format XML  formats.

NPI Number : 1871422238 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871422238",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WINGS OF CHANGE PSYCHOTHERAPY 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": "118 RADNOR AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAUGATUCK",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06770-2021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "118 RADNOR AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAUGATUCK",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06770-2021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-615-8310",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/13/2026",
    "LastUpdateDate": "05/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PAYTON",
    "AuthorizedOfficialFirstName": "NATASHA",
    "AuthorizedOfficialMiddleName": "NICOLE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "203-615-8310",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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