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1962351858 NPI number — SHARMAINE FONTELLE RANDLE LMHP-R

NPI Number: 1962351858
Health Care Provider/Practitioner: SHARMAINE FONTELLE RANDLE LMHP-R

Information about “1962351858” NPI (SHARMAINE FONTELLE RANDLE LMHP-R) exists in 1962351858 in HTML format HTML  |  1962351858 in plain Text format TXT  |  1962351858 in PDF (Portable Document Format) PDF  |  1962351858 in an XML format XML  formats.

NPI Number : 1962351858 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962351858",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RANDLE",
    "FirstName": "SHARMAINE",
    "MiddleName": "FONTELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHP-R",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11419 CATHARPIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOTSYLVANIA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22553-3604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "571-277-5994",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "904 PRINCESS ANNE ST STE 303-D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FREDERICKSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22401-5801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-277-5994",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2026",
    "LastUpdateDate": "01/24/2026",
    "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": "0704017586",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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