NPI Code Detail JSON Logo

1942552435 NPI number — FAMILIES FREE INC

NPI Number: 1942552435
Health Care Provider/Practitioner: FAMILIES FREE INC

Information about “1942552435” NPI (FAMILIES FREE INC) exists in 1942552435 in HTML format HTML  |  1942552435 in plain Text format TXT  |  1942552435 in PDF (Portable Document Format) PDF  |  1942552435 in an XML format XML  formats.

NPI Number : 1942552435 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942552435",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FAMILIES FREE INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5645",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNSON CITY",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37602-5645",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-631-0141",
    "MailingAddressFaxNumber": "423-631-0157",
    "FirstLinePracticeLocationAddress": "2408 SUSANNAH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSON CITY",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37601-1748",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-631-0141",
    "PracticeLocationAddressFaxNumber": "423-631-0157",
    "EnumerationDate": "10/08/2012",
    "LastUpdateDate": "07/24/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TIPTON",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BA",
    "AuthorizedOfficialTelephoneNumber": "423-773-9103",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "1000000011042",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "1000000011042",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": "1000000011042",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "1000000012039",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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