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1992251243 NPI number — VALENTINE CENTER FOR FAMILY THERAPY

NPI Number: 1992251243
Health Care Provider/Practitioner: VALENTINE CENTER FOR FAMILY THERAPY

Information about “1992251243” NPI (VALENTINE CENTER FOR FAMILY THERAPY) exists in 1992251243 in HTML format HTML  |  1992251243 in plain Text format TXT  |  1992251243 in PDF (Portable Document Format) PDF  |  1992251243 in an XML format XML  formats.

NPI Number : 1992251243 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992251243",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VALENTINE CENTER FOR FAMILY THERAPY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14385 COUNTY ROAD P",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA JARA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81140-9584",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-992-4260",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA JARA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81140",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-992-4260",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2016",
    "LastUpdateDate": "10/10/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VALENTINE",
    "AuthorizedOfficialFirstName": "TAMERA",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, MFTC, LAC",
    "AuthorizedOfficialTelephoneNumber": "719-992-4260",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Psychologist",
          "LicenseNumber": "ACD.0000672",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFTC.0013492",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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