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1952686289 NPI number — KATRINA VERLYNN SAUNDERS LPC

NPI Number: 1952686289
Health Care Provider/Practitioner: KATRINA VERLYNN SAUNDERS LPC

Information about “1952686289” NPI (KATRINA VERLYNN SAUNDERS LPC) exists in 1952686289 in HTML format HTML  |  1952686289 in plain Text format TXT  |  1952686289 in PDF (Portable Document Format) PDF  |  1952686289 in an XML format XML  formats.

NPI Number : 1952686289 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952686289",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAUNDERS",
    "FirstName": "KATRINA",
    "MiddleName": "VERLYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SWEETMAN",
    "OtherFirstName": "KATRINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "26901 BEAUMONT BLVD STE 3D",
    "SecondLineMailingAddress": "BEAUMONT PHYSICIAN PARTNERS PAYOR ENROLLMENT",
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48033-3849",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-577-9221",
    "MailingAddressFaxNumber": "248-577-3302",
    "FirstLinePracticeLocationAddress": "2399 E WALTON BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN HILLS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48326-1955",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-925-7678",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/18/2011",
    "LastUpdateDate": "09/12/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "6401011818",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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