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General NPI Number Information
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NPI Number | 1184083396
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Entity Type | Organization
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Legal Business Name | A BETTER DAY COUNSELING LLC
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 623 GREEN ST NW STE D
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City | GAINESVILLE
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State | GA
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Zip | 30501-3381
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Country | US
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Telephone | 678-701-8477
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Fax | 229-516-1395
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Provider Business Mailing Address
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Address Line | 623 GREEN ST NW STE D
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City | GAINESVILLE
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State | GA
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Zip | 30501-3381
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TIFFANY DERRICK
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Credential | LPC
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Telephone | 678-701-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC008265
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License Number State | GA
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