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1922765460 NPI number — EAST OF THE SEA COUNSELING SERVICES LLC

NPI Number: 1922765460
Health Care Provider/Practitioner: EAST OF THE SEA COUNSELING SERVICES LLC

Information about “1922765460” NPI (EAST OF THE SEA COUNSELING SERVICES LLC) exists in 1922765460 in HTML format HTML  |  1922765460 in plain Text format TXT  |  1922765460 in PDF (Portable Document Format) PDF  |  1922765460 in an XML format XML  formats.

NPI Number : 1922765460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922765460",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EAST OF THE SEA COUNSELING SERVICES LLC",
    "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": "15 DARTMOUTH DR UNIT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUBURN",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03032-3982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-237-1812",
    "MailingAddressFaxNumber": "696-034-0377",
    "FirstLinePracticeLocationAddress": "15 DARTMOUTH DR UNIT 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03032-3982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-237-1812",
    "PracticeLocationAddressFaxNumber": "696-034-0377",
    "EnumerationDate": "11/18/2021",
    "LastUpdateDate": "03/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITNEY",
    "AuthorizedOfficialFirstName": "JESSICA",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCMHC",
    "AuthorizedOfficialTelephoneNumber": "603-237-1812",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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