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1902037013 NPI number — EMERALD COAST ASSESSMENT AND COUNSELING CENTER, LLC

NPI Number: 1902037013
Health Care Provider/Practitioner: EMERALD COAST ASSESSMENT AND COUNSELING CENTER, LLC

Information about “1902037013” NPI (EMERALD COAST ASSESSMENT AND COUNSELING CENTER, LLC) exists in 1902037013 in HTML format HTML  |  1902037013 in plain Text format TXT  |  1902037013 in PDF (Portable Document Format) PDF  |  1902037013 in an XML format XML  formats.

NPI Number : 1902037013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902037013",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMERALD COAST ASSESSMENT AND COUNSELING CENTER, 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": "4400 BAYOU BLVD",
    "SecondLineMailingAddress": "SUITE 38",
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32503-2673",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-960-8806",
    "MailingAddressFaxNumber": "866-960-8806",
    "FirstLinePracticeLocationAddress": "4400 BAYOU BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 38",
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32503-2673",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-960-8806",
    "PracticeLocationAddressFaxNumber": "866-960-8806",
    "EnumerationDate": "08/06/2009",
    "LastUpdateDate": "08/06/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LUTZ",
    "AuthorizedOfficialFirstName": "JOSHUA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SCHOOL PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ED.S. , NCSP",
    "AuthorizedOfficialTelephoneNumber": "866-960-8806",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": "SS795",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH8518",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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