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1871557892 NPI number — KAREN RENEE BOUNDS LPC,LMFT

NPI Number: 1871557892
Health Care Provider/Practitioner: KAREN RENEE BOUNDS LPC,LMFT

Information about “1871557892” NPI (KAREN RENEE BOUNDS LPC,LMFT) exists in 1871557892 in HTML format HTML  |  1871557892 in plain Text format TXT  |  1871557892 in PDF (Portable Document Format) PDF  |  1871557892 in an XML format XML  formats.

NPI Number : 1871557892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871557892",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOUNDS",
    "FirstName": "KAREN",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC,LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "130 DESIARD ST",
    "SecondLineMailingAddress": "SUITE 355",
    "MailingAddressCityName": "MONROE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71201-7319",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-807-7875",
    "MailingAddressFaxNumber": "318-812-6603",
    "FirstLinePracticeLocationAddress": "920 OLIVER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONROE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71201-5702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-807-6258",
    "PracticeLocationAddressFaxNumber": "318-812-7347",
    "EnumerationDate": "04/14/2006",
    "LastUpdateDate": "06/11/2019",
    "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": "2314",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "320",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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