NPI Code Detail JSON Logo

1952531188 NPI number — LIFE CHANGINGBEHAVIORAL HEALTH SERVICES

NPI Number: 1952531188
Health Care Provider/Practitioner: LIFE CHANGINGBEHAVIORAL HEALTH SERVICES

Information about “1952531188” NPI (LIFE CHANGINGBEHAVIORAL HEALTH SERVICES) exists in 1952531188 in HTML format HTML  |  1952531188 in plain Text format TXT  |  1952531188 in PDF (Portable Document Format) PDF  |  1952531188 in an XML format XML  formats.

NPI Number : 1952531188 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952531188",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFE CHANGINGBEHAVIORAL HEALTH SERVICES",
    "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": "314 S MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRMONT",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28340-1906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-628-9091",
    "MailingAddressFaxNumber": "910-628-9093",
    "FirstLinePracticeLocationAddress": "817B S MADISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28472-4613",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-640-3008",
    "PracticeLocationAddressFaxNumber": "910-640-3008",
    "EnumerationDate": "07/22/2009",
    "LastUpdateDate": "09/23/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROMAN",
    "AuthorizedOfficialFirstName": "LUIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "910-770-2682",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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."
      }
    }
  }
}
                
            

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