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1952792442 NPI number — LISA SPROULL WEITHMAN MS, LMHC

NPI Number: 1952792442
Health Care Provider/Practitioner: LISA SPROULL WEITHMAN MS, LMHC

Information about “1952792442” NPI (LISA SPROULL WEITHMAN MS, LMHC) exists in 1952792442 in HTML format HTML  |  1952792442 in plain Text format TXT  |  1952792442 in PDF (Portable Document Format) PDF  |  1952792442 in an XML format XML  formats.

NPI Number : 1952792442 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952792442",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEITHMAN",
    "FirstName": "LISA",
    "MiddleName": "SPROULL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "975 N RIDGEWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32720-2424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-259-9030",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "975 N RIDGEWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32720-2424",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-259-9030",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2015",
    "LastUpdateDate": "09/26/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH15668",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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