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1962282954 NPI number — GUIDED CARE MANAGEMENT

NPI Number: 1962282954
Health Care Provider/Practitioner: GUIDED CARE MANAGEMENT

Information about “1962282954” NPI (GUIDED CARE MANAGEMENT) exists in 1962282954 in HTML format HTML  |  1962282954 in plain Text format TXT  |  1962282954 in PDF (Portable Document Format) PDF  |  1962282954 in an XML format XML  formats.

NPI Number : 1962282954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962282954",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GUIDED CARE MANAGEMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2601 LITTLE ELM PKWY STE 1803",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ELM",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75068-2503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-386-4246",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2601 LITTLE ELM PKWY STE 1803",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ELM",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75068-2503",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-386-4246",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2023",
    "LastUpdateDate": "05/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PARKS",
    "AuthorizedOfficialFirstName": "TYNESHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "469-386-4246",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "276400000X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Hospital Unit",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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