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General NPI Number Information
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NPI Number | 1164153953
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Entity Type | Organization
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Legal Business Name | BETTER TOGETHER MARRIAGE AND FAMILY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/26/2022
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Provider Practice Location Address
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Address Line | 1649 WILLIAMSBURG SQ # 209
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City | LAKELAND
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State | FL
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Zip | 33803-4279
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Country | US
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Telephone | 863-417-9273
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 WILLIAMSBURG SQ # 209
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City | LAKELAND
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State | FL
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Zip | 33803-4279
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Country | US
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Telephone | 863-220-1949
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD THERAPIST
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Name | MRS. HEATHER LYNN PROCIUK
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Credential | MSW, LCSW
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Telephone | 863-220-1949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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