Healthcare Provider Details

I. General information

NPI: 1154196293
Provider Name (Legal Business Name): THERE'S A WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 11/20/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 LAVERS CIR APT 187
DELRAY BEACH FL
33444-7984
US

IV. Provider business mailing address

581 LAVERS CIR APT 187
DELRAY BEACH FL
33444-7984
US

V. Phone/Fax

Practice location:
  • Phone: 443-791-8656
  • Fax:
Mailing address:
  • Phone: 443-791-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA NICOLE KUNTZ
Title or Position: OWNER
Credential:
Phone: 443-791-8656