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1912654526 NPI number — MASTER'S TOUCH COUNSELING SERVICES. LLC

NPI Number: 1912654526
Health Care Provider/Practitioner: MASTER'S TOUCH COUNSELING SERVICES. LLC

Information about “1912654526” NPI (MASTER'S TOUCH COUNSELING SERVICES. LLC) exists in 1912654526 in HTML format HTML  |  1912654526 in plain Text format TXT  |  1912654526 in PDF (Portable Document Format) PDF  |  1912654526 in an XML format XML  formats.

NPI Number : 1912654526 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912654526",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MASTER'S TOUCH COUNSELING SERVICES. 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": "12125 E. 65TH STREET",
    "SecondLineMailingAddress": "PO BOX 36006",
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46236",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-413-8000",
    "MailingAddressFaxNumber": "317-855-7668",
    "FirstLinePracticeLocationAddress": "6467 ROYAL OAKLAND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46236-4804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-413-8000",
    "PracticeLocationAddressFaxNumber": "317-855-7668",
    "EnumerationDate": "03/03/2022",
    "LastUpdateDate": "03/03/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLEVELAND-MOORE",
    "AuthorizedOfficialFirstName": "DENISE",
    "AuthorizedOfficialMiddleName": "COLLEEN",
    "AuthorizedOfficialTitle": "OWNER/CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSW, LCSW, LCAC",
    "AuthorizedOfficialTelephoneNumber": "317-413-8000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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