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General NPI Number Information
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NPI Number | 1033881982
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE THERAPY LLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 3577 WILES RD APT 201
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2204
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Country | US
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Telephone | 954-228-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 5379 LYONS RD # 1634
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2810
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Country | US
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Telephone | 954-228-5218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYDIANNE FLETCHER
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Credential | LMHC
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Telephone | 954-228-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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