NPI Code Detail JSON Logo

1932506532 NPI number — RICHARD MILIAN LCDC

NPI Number: 1932506532
Health Care Provider/Practitioner: RICHARD MILIAN LCDC

Information about “1932506532” NPI (RICHARD MILIAN LCDC) exists in 1932506532 in HTML format HTML  |  1932506532 in plain Text format TXT  |  1932506532 in PDF (Portable Document Format) PDF  |  1932506532 in an XML format XML  formats.

NPI Number : 1932506532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932506532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILIAN",
    "FirstName": "RICHARD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5642 COUNTY ROAD 823",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST COLUMBIA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77486-9388",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "979-549-0889",
    "MailingAddressFaxNumber": "979-549-0878",
    "FirstLinePracticeLocationAddress": "120 E PLUM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANGLETON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77515-6012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "979-549-0889",
    "PracticeLocationAddressFaxNumber": "979-549-0878",
    "EnumerationDate": "11/25/2014",
    "LastUpdateDate": "11/25/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "12577",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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