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1891877080 NPI number — KIMBERLY A BERRY-LAVOIE M.ED., LMFT

NPI Number: 1891877080
Health Care Provider/Practitioner: KIMBERLY A BERRY-LAVOIE M.ED., LMFT

Information about “1891877080” NPI (KIMBERLY A BERRY-LAVOIE M.ED., LMFT) exists in 1891877080 in HTML format HTML  |  1891877080 in plain Text format TXT  |  1891877080 in PDF (Portable Document Format) PDF  |  1891877080 in an XML format XML  formats.

NPI Number : 1891877080 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891877080",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERRY-LAVOIE",
    "FirstName": "KIMBERLY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED., LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BERRY-LAVOIE",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.ED.,LMFT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4206 MCCAMPBELL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37918-2725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-742-7157",
    "MailingAddressFaxNumber": "865-244-1096",
    "FirstLinePracticeLocationAddress": "3232 TAZEWELL PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37918-2529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-742-7157",
    "PracticeLocationAddressFaxNumber": "865-244-1096",
    "EnumerationDate": "10/19/2006",
    "LastUpdateDate": "04/20/2011",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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