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1932358751 NPI number — PEGGY SUE RATLIFF LPC

NPI Number: 1932358751
Health Care Provider/Practitioner: PEGGY SUE RATLIFF LPC

Information about “1932358751” NPI (PEGGY SUE RATLIFF LPC) exists in 1932358751 in HTML format HTML  |  1932358751 in plain Text format TXT  |  1932358751 in PDF (Portable Document Format) PDF  |  1932358751 in an XML format XML  formats.

NPI Number : 1932358751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932358751",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RATLIFF",
    "FirstName": "PEGGY",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZINI",
    "OtherFirstName": "PEGGY",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "11 OAK CLIFF CV",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAMASCUS",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72039-9265",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-335-9278",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1058 FRONT ST STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONWAY",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72032-4337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-504-2092",
    "PracticeLocationAddressFaxNumber": "501-504-2093",
    "EnumerationDate": "09/17/2008",
    "LastUpdateDate": "02/15/2024",
    "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": "P2308029",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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