Healthcare Provider Details
I. General information
NPI: 1629448428
Provider Name (Legal Business Name): A BETTER THERAPY CONNECTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2015
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2109 BANNEKER WAY
SARASOTA FL
34234-6304
US
IV. Provider business mailing address
2109 BANNEKER WAY
SARASOTA FL
34234-6304
US
V. Phone/Fax
- Phone: 941-400-7660
- Fax:
- Phone: 941-400-7660
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARON
D.
TROUPE
Title or Position: PROGRAM SUPERVISOR
Credential: M.A
Phone: 941-400-7660