{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INSPIRE COUNSELING GROUP, MARRIAGE AND FAMILY THERAPY CORP.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "19360 RINALDI ST # 718",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTER RANCH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91326-1607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-554-2600",
"MailingAddressFaxNumber": "888-728-4572",
"FirstLinePracticeLocationAddress": "10718 WHITE OAK AVE STE 6",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRANADA HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91344-4628",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-554-2600",
"PracticeLocationAddressFaxNumber": "888-728-4572",
"EnumerationDate": "12/12/2018",
"LastUpdateDate": "05/04/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JINGOZIAN",
"AuthorizedOfficialFirstName": "VARDUI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "818-554-2600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"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."
}
}
}
}