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General NPI Number Information
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NPI Number | 1063058022
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Entity Type | Organization
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Legal Business Name | A BETTER MIND, A BETTER ME, LLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 5680 KING CENTRE DR STE 600
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5755
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Country | US
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Telephone | 703-718-5937
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 MOUNT VERNON AVE STE 448
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1328
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Country | US
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Telephone | 703-718-5937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARA GRIMES
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Credential | LCSW
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Telephone | 818-599-5774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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