NPI Code Detail JSON Logo

1902585912 NPI number — REVIVE AND RESTORE COUNSELING, PLLC

NPI Number: 1902585912
Health Care Provider/Practitioner: REVIVE AND RESTORE COUNSELING, PLLC

Information about “1902585912” NPI (REVIVE AND RESTORE COUNSELING, PLLC) exists in 1902585912 in HTML format HTML  |  1902585912 in plain Text format TXT  |  1902585912 in PDF (Portable Document Format) PDF  |  1902585912 in an XML format XML  formats.

NPI Number : 1902585912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902585912",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REVIVE AND RESTORE COUNSELING, PLLC",
    "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": "5030 HUFFINES BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROYSE CITY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75189-2443",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-834-5449",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5030 HUFFINES BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROYSE CITY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75189-2443",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-834-5449",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2023",
    "LastUpdateDate": "10/04/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUKES",
    "AuthorizedOfficialFirstName": "GLORIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LMFT, OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA",
    "AuthorizedOfficialTelephoneNumber": "469-740-5832",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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