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1881026151 NPI number — THE CENTER FOR COUNSELING AND HOLISTIC SERVICES

NPI Number: 1881026151
Health Care Provider/Practitioner: THE CENTER FOR COUNSELING AND HOLISTIC SERVICES

Information about “1881026151” NPI (THE CENTER FOR COUNSELING AND HOLISTIC SERVICES) exists in 1881026151 in HTML format HTML  |  1881026151 in plain Text format TXT  |  1881026151 in PDF (Portable Document Format) PDF  |  1881026151 in an XML format XML  formats.

NPI Number : 1881026151 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881026151",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE CENTER FOR COUNSELING AND HOLISTIC SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2410 2ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT LEE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07024-4004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-491-6060",
    "MailingAddressFaxNumber": "201-346-4365",
    "FirstLinePracticeLocationAddress": "271 ROUTE 46 W",
    "SecondLinePracticeLocationAddress": "C-110",
    "PracticeLocationAddressCityName": "FAIRFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07004-2440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-491-6060",
    "PracticeLocationAddressFaxNumber": "201-346-4365",
    "EnumerationDate": "08/08/2013",
    "LastUpdateDate": "11/06/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ETIENNE",
    "AuthorizedOfficialFirstName": "VASHONNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDING EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "201-491-6060",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "44SC05537800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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