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1922605518 NPI number — LAKIESHA N CROSS

NPI Number: 1922605518
Health Care Provider/Practitioner: LAKIESHA N CROSS

Information about “1922605518” NPI (LAKIESHA N CROSS) exists in 1922605518 in HTML format HTML  |  1922605518 in plain Text format TXT  |  1922605518 in PDF (Portable Document Format) PDF  |  1922605518 in an XML format XML  formats.

NPI Number : 1922605518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922605518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROSS",
    "FirstName": "LAKIESHA",
    "MiddleName": "N",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CROSS",
    "OtherFirstName": "LAKIESHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MC, LCMHC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "100 HUNTER HILL RD APT 10C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TARBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27886-4010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-824-7774",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 HUNTER HILL RD APT 10C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TARBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27886-4010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-824-7774",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2020",
    "LastUpdateDate": "10/06/2020",
    "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": "A16048",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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