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General NPI Number Information
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NPI Number | 1104965268
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Entity Type | Organization
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Legal Business Name | A BETTER THERAPY, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 740 FLORIDA CENTRAL PKWY #2008
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City | LONGWOOD
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State | FL
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Zip | 32750-7651
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Country | US
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Telephone | 407-774-2284
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Fax | 407-774-2285
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Provider Business Mailing Address
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Address Line | 740 FLORIDA CENTRAL PKWY #2008
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City | LONGWOOD
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State | FL
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Zip | 32750-7651
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Country | US
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Telephone | 407-774-2284
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Fax | 407-774-2285
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. COREY MANUEL
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Credential | L.M.H.C.
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Telephone | 407-774-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 11048
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 015664400
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License Number State | FL
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