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1912858457 NPI number — MRS. JOANNA LABETTE GOLLIDAY

NPI Number: 1912858457
Health Care Provider/Practitioner: MRS. JOANNA LABETTE GOLLIDAY

Information about “1912858457” NPI (MRS. JOANNA LABETTE GOLLIDAY) exists in 1912858457 in HTML format HTML  |  1912858457 in plain Text format TXT  |  1912858457 in PDF (Portable Document Format) PDF  |  1912858457 in an XML format XML  formats.

NPI Number : 1912858457 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912858457",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOLLIDAY",
    "FirstName": "JOANNA",
    "MiddleName": "LABETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "115 E MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HENDERSON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75652-3167",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-646-1326",
    "MailingAddressFaxNumber": "903-392-8267",
    "FirstLinePracticeLocationAddress": "854 SW BIG BEND TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLEN ROSE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76043-4413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-646-1326",
    "PracticeLocationAddressFaxNumber": "903-392-8267",
    "EnumerationDate": "02/09/2026",
    "LastUpdateDate": "02/09/2026",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "117093",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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